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OZARK MOUNTAIN HEALTH AND WELLNESS
NPI 1558863373
Nurse Practitioner - Family in Fayetteville, AR

Active since March 07, 2018
3810 N FRONT ST STE 11, FAYETTEVILLE, AR 72703(479) 387-4920 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 16, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Ozark Mountain Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OZARK MOUNTAIN HEALTH AND WELLNESS (NPI 1558863373) is a healthcare organization registered as a family in Fayetteville, Arkansas and active in the NPI registry since March 2018. The organization lists Kelley Oliver, President, as its authorized official.

NPPES Registry Identity

NPI1558863373
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKA OLIVER INC.
Location Address3810 N FRONT ST STE 11Fayetteville, AR 72703-5217
Mailing Address12768 N Billingsley RdPrairie Grove, AR 72753-9467 · (479) 409-1029
Phone(479) 387-4920
Organization SubpartNo
Authorized OfficialKelley OliverPresident · (479) 387-4920
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1558863373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A004049
3810 N FRONT ST STE 11, Fayetteville, AR 72703
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Other Names 1

Doing Business AsOzark Mountain Health And Wellness

Other Identifiers 2

Medicaid206672758AR
Other5AQ83AR · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATKINS FAMILY HEALTH & COUNSELING, INC.
Social Worker (Clinical)
3810 N FRONT ST STE 11
FAYETTEVILLE, AR 72703
Washington County (479) 387-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ka Oliver Inc.'s NPI number?

The NPI number for Ka Oliver Inc. is 1558863373. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as Ozark Mountain Health And Wellness.

Where is Ka Oliver Inc. located?

Ka Oliver Inc. is located at 3810 N Front St Ste 11, Fayetteville, AR 72703. The listed phone number is (479) 387-4920.

What is Ka Oliver Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ka Oliver Inc. was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.