Provider Demographics
NPI:1205081437
Name:QUALITY HEALTHCARE RESOURCES LLC
Entity type:Organization
Organization Name:QUALITY HEALTHCARE RESOURCES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISION SENIOR VP OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KENSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-558-4141
Mailing Address - Street 1:2200 S BOWMAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4136
Mailing Address - Country:US
Mailing Address - Phone:501-558-4111
Mailing Address - Fax:501-263-9017
Practice Address - Street 1:2200 S BOWMAN RD STE A
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4136
Practice Address - Country:US
Practice Address - Phone:501-558-4111
Practice Address - Fax:501-263-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5DH22OtherPTAN