Most Relevant Information
Provider Data
| NPI Number: | 1003684929 |
| Provider Name: | ALMA KIVI M.S. LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A1912190 |
Most Important Dates
| Enumeration Date: | 12/20/2023 |
| Last Updated: | 12/20/2023 |
Provider Practice Location
2105 S 54TH ST 2
#2
ROGERS
AR
727588191
Practice Location Phone/Fax
| Phone: | 4793732377 |
| Fax: |
Provider Mailing Location
303 SE HENDRIX ST
BENTONVILLE
AR
727123931
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |