Provider Demographics
NPI:1881962686
Name:EVANS, KALI ANN (APN)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:ANN
Last Name:EVANS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:ANN
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 SAINT VINCENT CIR STE 502
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5414
Mailing Address - Country:US
Mailing Address - Phone:501-558-0200
Mailing Address - Fax:501-558-0201
Practice Address - Street 1:5 SAINT VINCENT CIR STE 502
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5414
Practice Address - Country:US
Practice Address - Phone:501-558-0200
Practice Address - Fax:501-558-0201
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARUNKNOWN363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner