Individual provider · Type 1 NPI

Kamiah Jalea Thornton

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1003714593 Active

Practice location

201 Donaghey Ave
Conway, AR 72035-5001

Call (501) 450-3153 Map

Mailing address

3516 S Apple St
Pine Bluff, AR 71603-4745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003714593

Kamiah Jalea Thornton's National Provider Identifier is 1003714593, issued on Oct 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Oct 27, 2026.