Individual provider · Type 1 NPI

Katie Janette Carillon, P.A.C.

Medical Physician Assistant · Maumelle, AR

NPI number 1649538679 Active

Practice location

1701 Club Manor Dr Ste 2B
Maumelle, AR 72113-7401

Call (501) 843-4555 Map

Fax (501) 743-1550

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA468 (AR)

Medical Physician Assistant: Definition to come...

9 other providers at this address

About NPI 1649538679

Katie Janette Carillon, P.A.C.'s National Provider Identifier is 1649538679, issued on Apr 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Maumelle, AR. The record was last updated on Sep 20, 2024.