ProviderBusinessMailingAddressFaxNumber = '5012241340'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1801564828 | AVERY | ANTHONY | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1770963191 | BUTLER | MARCUS | | | 11700 KANIS RD | LITTLE ROCK | AR | 722113729 |
| 1235772997 | DVORAK | TANNER | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1982097838 | GRIFFIN | PATRICIA | | | 11700 KANIS RD | LITTLE ROCK | AR | 722113729 |
| 1861036907 | HERRON | NIA | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1447426580 | HOPSON-ALLEN | CHRISTINA | | | 1014 AUTUMN RD | LITTLE ROCK | AR | 72211 |
| 1679204069 | NELSON | CAMELLE | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1982251583 | OKEKE | JOSEPH | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1043661739 | OSLICA | AUSTIN | | | 11550 CLUB HOUSE PKWY | FARMINGTON | AR | 727308703 |
| 1265812556 | ROBY | DAVID | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1326442427 | ROWE | CHRISTINE | | | 1014 AUTUMN RD | LITTLE ROCK | AR | 722113704 |
| 1043840077 | SHELTON | LATOYA | SHARI | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
| 1396999058 | TENNER | LAPORSHA | A. | | 11700 KANIS RD | LITTLE ROCK | AR | 722113729 |
| 1851946826 | WINGFIELD | LINDSEY | | | 11700 KANIS RD STE 2 | LITTLE ROCK | AR | 722113794 |
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