KATIE J CARILLON, P.A.C., Medical MAUMELLE, AR

Contact Information

KATIE J CARILLON, P.A.C.

1701 CLUB MANOR DR STE 2B
MAUMELLE, AR 72113-7401

Phone: 501-843-4555
Fax: 501-743-1550
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for KATIE J CARILLON · (Female)

NPI Number	`1649538679`
Status	Active
Credentials	P.A.C.
Entity	Individual
Enumeration date	04/27/2012
Last updated	09/20/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	AR License # PA468
Hospital affiliation(s)	BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK - (Acute Care) 3333 SPRINGHILL DRIVE NORTH LITTLE ROCK, AR 72117 JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care) 1600 WEST 40TH AVENUE PINE BLUFF, AR 71603

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KATIE J CARILLON, P.A.C. – NPI #1649538679Medical

Contact Information

Specialty

Medical

NPI Profile & details for KATIE J CARILLON · (Female)

Reviews for KATIE J CARILLON

KATIE J CARILLON, P.A.C. – NPI #1649538679
Medical