Mrs Kellie Lynn Glisson Jr, LPN is a
Licensed Practical Nurse based in Arkadelphia, Arkansas. Mrs Kellie Lynn Glisson Jr is licensed to practice in Arkansas (license number L42812) and her current practice location is
2410 Pine St, Arkadelphia, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 245-2210.
NPI number for Mrs Kellie Lynn Glisson Jr is 1619115649 and her current mailing address is 169 Hunterscove Dr, Hot Springs, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619115649.
Provider's Profile
Full Name | Mrs Kellie Lynn Glisson Jr |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2410 Pine St, Arkadelphia, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619115649
- Provider Enumeration Date: 01/29/2009
- Last Update Date: 01/29/2009
Medical Identifiers
Medical identifiers for Mrs Kellie Lynn Glisson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619115649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | L42812 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Lynn Glisson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kellie Lynn Glisson Jr, LPN 169 Hunterscove Dr, Hot Springs, AR 71913-8071 Ph: (501) 760-2511 | Mrs Kellie Lynn Glisson Jr, LPN 2410 Pine St, Arkadelphia, AR 71923-4335 Ph: (870) 245-2210 |
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