Most Relevant Information
Provider Data
NPI Number: | 1003579418 |
Provider Name: | KATHERINE ELIZABETH DUNHAM APRN |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 214892 |
Most Important Dates
Enumeration Date: | 10/21/2021 |
Last Updated: | 08/20/2024 |
Provider Practice Location
175 VOLUNTEER PKWY
CLINTON
AR
720318001
Practice Location Phone/Fax
Phone: | 5017453388 |
Fax: | 5017453006 |
Provider Mailing Location
175 VOLUNTEER PKWY
CLINTON
AR
720318001
Provider Mailing Phone/Fax
Phone: | 5017571385 |
Fax: |