| K Griffith Pmhnp Llc | |
|
1 W Sunbridge Dr Fayetteville AR 72703-1825 | |
| (479) 443-5575 | |
| (479) 443-9554 |
| Full Name | K Griffith Pmhnp Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 W Sunbridge Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Kelley Danielle Griffith (PRESIDENT) |
| Authorized Official Contact | 4793128862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Griffith Pmhnp Llc 610 Kitty Hawk St Van Buren AR 72956-2132 Ph: () - | K Griffith Pmhnp Llc 1 W Sunbridge Dr Fayetteville AR 72703-1825 Ph: (479) 443-5575 |
| NPI Number | 1629700281 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629700281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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