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Kaitlyn M Carlson

Case Manager/Care Coordinator in Bentonville, AR. Individual provider (NPI-1).

NPI number1407375181
StatusActive
Last updated in NPPESSep 14, 2017

Details

NPI
1407375181
Entity type
Individual (NPI-1)
Name
Kaitlyn M Carlson
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2017
Last updated
Sep 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1007 Beau Terre Dr Ste 406
Bentonville, AR 72712-6798

Phone 417-347-7600

Mailing address

Po Box 2526
Joplin, MO 64803-2526

Phone 417-347-7600

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