Individual provider · Type 1 NPI

Kellie Nicole Underwood

Licensed Practical Nurse · Rogers, AR

NPI number 1154925824 Active

Practice location

3307 N Dixieland Rd
Rogers, AR 72756-6816

Fax (479) 986-5191

Mailing address

PO Box 130
Rogers, AR 72757-0130

Other practice locations

  • 2210 Main Dr, Springdale, AR 72762-6802 · (479) 856-6397

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X122078 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

51 other providers at this address

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About NPI 1154925824

Kellie Nicole Underwood's National Provider Identifier is 1154925824, issued on Nov 24, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rogers, AR. The record was last updated on Nov 24, 2020.