Individual provider · NPI-1

Kelly Nicole Duzan, MLS

Technician/Technologist · Little Rock, AR

NPI number1396219689
StatusActive
Last updated in NPPESJan 19, 2019

Details

NPI
1396219689
Entity type
Individual (NPI-1)
Name
Kelly Nicole Duzan
Credential
MLS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2019
Last updated
Jan 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Other names

  • Kelly Nicole Virbel (Former Name)

Practice location

9601 Baptist Health Dr
Little Rock, AR 72205-6321

Phone 501-202-2687

Mailing address

29 Ophelia Dr
Maumelle, AR 72113-6214

Phone 501-765-6572

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