Individual provider · NPI-1

Kelley L Easley Dotson, APN PNP-BC

Nurse Practitioner, Pediatrics · Mena, AR

NPI number1902064272
StatusActive
Last updated in NPPESJun 13, 2024

Details

NPI
1902064272
Entity type
Individual (NPI-1)
Name
Ms. Kelley L Easley Dotson
Credential
APN PNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2008
Certification date
Jun 13, 2024
Last updated
Jun 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsA001612ARYes
363LP2300X Nurse Practitioner, Primary CareA001612AR

Other names

  • Kelley L Dotson (Other Name)

Practice location

1102 Crestwood Cir
Mena, AR 71953-5513

Phone 479-394-7301 · Fax 479-394-0371

Mailing address

Po Box 251418
Little Rock, AR 72225-1418

Phone 501-364-1100 · Fax 501-364-4082

Other practice locations

1301 Wolfe St
Little Rock, AR 72202-5320

Phone 501-372-2768 · Fax 501-978-6492

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