Individual provider · Type 1 NPI

Kelly Ann Lueders, DMS, PA-C

Physician Assistant · Bentonville, AR

NPI number 1730135922 Active

Practice location

1303 NE Legacy Pkwy
Bentonville, AR 72712-4940

Fax (479) 202-4840

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA-443 (AR)
Physician Assistant 363A00000X1191 (OK)
Medical Physician Assistant 363AM0700X2009009834 (MO)
Physician Assistant Primary 363A00000XPA-443 (AR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730135922

Kelly Ann Lueders, DMS, PA-C's National Provider Identifier is 1730135922, issued on May 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bentonville, AR. The record was last updated on Sep 18, 2026.