OrganizationActive
Bluetail Arkansas PLLC
NPI 1578045803 · Sports Medicine (Family Medicine) Physician · Little Rock, AR
Provider details
- NPI number
- 1578045803
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kristin Oliver, Owner
Practice location
9101 Kanis Rd Ste 200
Little Rock, AR 72205-6455
Phone: (636) 778-2900
Fax: (636) 778-2828
Mailing address
C/O Bluetail Medical Group, LLC
Chesterfield, MO 63005-1364
Registry dates
- Enumerated
- 2018-09-04
- Last updated
- 2018-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.