Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Clinic

Organization Family Medicine Physician · NPI 1609631415

The Clinic is a Family Medicine Physician in Walnut Ridge, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

402 SW Larkspur Dr
Walnut Ridge, AR 72476-1750
Phone: (870) 813-0300
Fax: (870) 313-0380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1609631415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Kimble — Admin · (870) 813-0300
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address402 Sw Larkspur Dr, Walnut Ridge, AR 72476-1750

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