NPI 1902064272 · live from the CMS NPI Registry
Kelley L Easley Dotson, APN PNP-BC
Nurse Practitioner, Pediatrics in Mena, AR. National Provider Identifier 1902064272, active.
NPI record
| NPI | 1902064272 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1102 Crestwood Cir, Mena, AR 71953 |
| Practice phone | 479-394-7301 |
| Mailing address | Po Box 251418, Little Rock, AR 72225 |
| Enumerated | May 23, 2008 |
| Last updated | June 13, 2024 |
| Sole proprietor | No |
| Other names | Kelley Dotson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care | 363LP2300X | A001612 (AR) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A001612 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.