| Kristin N Kiernan Aprn Pllc | |
|
3348 Main St Ste 100 Bryant AR 72022-5013 | |
| (501) 443-3818 | |
| (501) 521-1001 |
| Full Name | Kristin N Kiernan Aprn Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3348 Main St Ste 100, Bryant, Arkansas |
| Authorized Official Name and Position | Kristin N Kiernan (NP) |
| Authorized Official Contact | 8704038287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin N Kiernan Aprn Pllc 655 Deer Valley Dr Malvern AR 72104-9240 Ph: (870) 403-8287 | Kristin N Kiernan Aprn Pllc 3348 Main St Ste 100 Bryant AR 72022-5013 Ph: (501) 443-3818 |
| NPI Number | 1023899309 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 7113379777 |
|---|---|
| Medicare Enrollment ID | O20240118003826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023899309 | NPI | - | NPPES |
| Provider Name | Kristin Kiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508644402 PECOS PAC ID: 2466800693 Enrollment ID: I20231129001955 |
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