| Doctor Name: | MR. KIM M FLETCHER |
| NPI Number: | 1871670539 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.DIV. |
| License Number: | |
| Business Practice Address: | 2200 Fort Roots Dr N Little Rock, AR - 721141709 |
| Business Phone Number: | 5012571673 |
| Business Fax Number: | 5012571671 |
| Mailing Address: | 112 Shafer Trl, AUSTIN |
| State: | AR |
| Postal Code: | 720079210 |
| Phone Number: | 5019412226 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |