Individual provider · Type 1 NPI
Kally Marie Elizabeth Sivage
Psychiatric/Mental Health Nurse Practitioner · Barling, AR
NPI number
1740762905
Active
Practice location
10301 Mayo Dr
Barling, AR 72923-1660
Mailing address
119 Dartmouth Ln
Fort Smith, AR 72908-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | A005843 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740762905
Kally Marie Elizabeth Sivage's National Provider Identifier is 1740762905, issued on Sep 4, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Barling, AR. The record was last updated on Sep 4, 2018.