Basic Information
Provider Information
NPI: 1932308277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIENHART
FirstName: KRISTEN
MiddleName: LEIGH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 W MAPLE AVE STE 503
Address2:  
City: SPRINGDALE
State: AR
PostalCode: 727645376
CountryCode: US
TelephoneNumber: 4797513722
FaxNumber: 4797511099
Practice Location
Address1: 601 W MAPLE AVE STE 503
Address2:  
City: SPRINGDALE
State: AR
PostalCode: 727645376
CountryCode: US
TelephoneNumber: 4797513722
FaxNumber: 4797511099
Other Information
ProviderEnumerationDate: 07/17/2007
LastUpdateDate: 05/14/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XE-5942ARY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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