IndividualActive
Alicia Polk
NPI 1548066194 · Other Specialist/Technologist · Bentonville, AR
Provider details
- NPI number
- 1548066194
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6779 (AR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2612 S Walton Blvd
Bentonville, AR 72712-7558
Phone: (479) 395-1115
Approximate (ZIP-level) locationGet directions
Mailing address
2612 S Walton Blvd
Bentonville, AR 72712-7558
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.