| Kerry Underwood | |
|
5401 Rogers Ave Suite 200 Fort Smith AR 72903-3745 | |
| (479) 226-8403 | |
| (479) 250-0334 |
| Full Name | Kerry Underwood |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5401 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Mary Jeppsen (PARTNER) |
| Authorized Official Contact | 4792268403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Underwood 5401 Rogers Ave Suite 200 Fort Smith AR 72903-3745 Ph: (479) 226-8403 | Kerry Underwood 5401 Rogers Ave Suite 200 Fort Smith AR 72903-3745 Ph: (479) 226-8403 |
| NPI Number | 1336512979 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336512979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | A1101002 (Arkansas) | Primary |
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