KA OLIVER INC. NPI 1558863373

NPI Information

  • NPI: 1558863373
  • Provider Name: KA OLIVER INC.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: OZARK MOUNTAIN HEALTH AND WELLNESS
  • Address: 3810 N FRONT ST STE 11
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 387-4920

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NPI Details

KA OLIVER INC. is a family nurse practitioner in Fayetteville, AR. KA OLIVER INC. NPI is 1558863373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ozark Mountain Health And Wellness.

The provider's business location address is:

3810 N FRONT ST STE 11
FAYETTEVILLE, AR
ZIP 72703-217
Phone: (479) 387-4920

The provider's authorized official is Kelley Oliver .
The authorized official title is President and has the following contact phone number (479) 387-4920.

The enumeration date for this NPI number is 3/7/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA004049ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1206672758MEDICAIDARKANSAS
25AQ83OTHERARKANSASBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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