DR. KATHRYN LEE NANCE (NPI# 1952745655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952745655 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN LEE NANCE |
| Credential | M.D. |
| Practice Address |
625 United Dr Ste 350 Conway AR 72032-7826 |
| Practice Telephone | 5013586792 |
| Practice Fax Number | 5013586841 |
| Mailing Telephone | 5013586792 |
| Mailing Fax Number | 5013586841 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Q8312 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
E10934 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679061485 | Kathryn H Nance | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2018-04-26 |
| Street Address |
625 UNITED DR STE 350 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225695075 | Lab One LLC | Clinical Medical Laboratory | 625 United Dr Ste 350, Conway, AR 72032-7829 | 2019-05-28 |
| 1336674860 | Arkansas Health Group | Clinic/Center | 625 United Dr Ste 350, Conway, AR 72032-7826 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841155 | Bhavesh Joshi | Family Medicine | 2405 Aggie Road, Jonesboro, AR 72401 | 2013-06-20 |
| 1508877903 | Bowen Hefley Rhodes Stewart Orthopedics, Pa | Family Medicine | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205 | 2006-08-10 |
| 1578045803 | Bluetail Arkansas Pllc | Family Medicine | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2018-09-04 |
| 1144623679 | Southern Arkansas University | Family Medicine | 100 E University, Magnolia, AR 71753-2181 | 2014-09-29 |
| 1508283995 | Larry Balle II | Family Medicine | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2014-03-24 |
| 1588961338 | Darrin Ashbrooks Md Pa | Family Medicine | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2011-02-14 |
| 1699070649 | Mercy Clinic Fort Smith Communities | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2011-01-24 |
| 1790817427 | Victor Gonzalo Vargas | Family Medicine | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-03-09 |
| 1144298845 | Thomas E Cheyne | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.