Provider Demographics
NPI:1477904290
Name:KINARD, LINDLEY ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDLEY
Middle Name:ANN
Last Name:KINARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 CANTRELL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1604
Mailing Address - Country:US
Mailing Address - Phone:501-581-1212
Mailing Address - Fax:
Practice Address - Street 1:12600 CANTRELL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1604
Practice Address - Country:US
Practice Address - Phone:501-581-1212
Practice Address - Fax:501-712-1400
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004786363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily