Provider Demographics
NPI:1821869033
Name:HONEY-WILLIAMS, KYNDALE
Entity Type:Individual
Prefix:
First Name:KYNDALE
Middle Name:
Last Name:HONEY-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 HIGHWAY 367 N
Mailing Address - Street 2:
Mailing Address - City:TUCKERMAN
Mailing Address - State:AR
Mailing Address - Zip Code:72473-9389
Mailing Address - Country:US
Mailing Address - Phone:870-495-3124
Mailing Address - Fax:
Practice Address - Street 1:6309 HIGHWAY 367 N
Practice Address - Street 2:
Practice Address - City:TUCKERMAN
Practice Address - State:AR
Practice Address - Zip Code:72473-9389
Practice Address - Country:US
Practice Address - Phone:870-495-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARL060672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse