NPI 1073137253 · live from the CMS NPI Registry
Kimberly Ann Callaway Gentry, PhD
Psychologist in Conway, AR. National Provider Identifier 1073137253, active.
NPI record
| NPI | 1073137253 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 317 Oak St Ste 3, Conway, AR 72032 |
| Practice phone | 501-358-6396 |
| Mailing address | 23 Colt Loop, Greenbrier, AR 72058 |
| Enumerated | June 3, 2020 |
| Last updated | January 25, 2023 |
| Sole proprietor | No |
| Other names | Kim Gentry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 202217 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.