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

Kellie Nicole Underwood

Individual provider Licensed Practical Nurse · NPI 1154925824

Kellie Nicole Underwood is a Licensed Practical Nurse in Rogers, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2020

Practice location Address checks out

3307 N Dixieland Rd
Rogers, AR 72756-6816
Phone: (479) 986-5150
Fax: (479) 986-5191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2210 Main Dr, Springdale, AR 72762-6802 — (479) 856-6397

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 122078 (AR)

Record details

NPI number1154925824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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