Provider Demographics
NPI:1215480538
Name:ARNOLD, KRISTEN FAITH (MS,DT)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:FAITH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS,DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22461 I 30 STE 1100A
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2379
Mailing Address - Country:US
Mailing Address - Phone:501-481-8930
Mailing Address - Fax:501-481-8914
Practice Address - Street 1:22461 I 30 STE 1100A
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2379
Practice Address - Country:US
Practice Address - Phone:501-481-8930
Practice Address - Fax:501-481-8914
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist