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KEITH RUSSWORM, NP
NP
Nurse Practitioner
NPI: 1497263222IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
A005484(AR)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 1600 W 40TH AVE
PINE BLUFF, AR 71603 - Phone
- (870) 541-7100
Quick Facts
- NPI
- 1497263222
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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