SearchArkansas311ZA0620X

Kisty Wine

NPI 1255273827 · on the registry since 2026 · sole proprietor

Practice

Address
307 Se 9th St
England, AR 72046
Phone
(501) 326-0092

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas