Bluetail Arkansas Pllc

LBN: Bluetail Arkansas Pllc
Bluetail Arkansas Pllc is an health care organization with primary practice located at 9101 Kanis Rd Ste 200 , Little Rock AR 72205-6455. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Bluetail Arkansas Pllc can be contacted via phone (636) 778-2900, or through Oliver, Kristin S via phone (636) 778-2900.

Contact Information

Primary practice address
9101 Kanis Rd Ste 200 Little Rock AR 72205-6455
Fax: (636) 778-2828
Website:
Authorized official contact:
Name: Oliver, Kristin S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1578045803
LBN Legal business name Bluetail Arkansas Pllc
DBA Doing business as
Authorized official Oliver, Kristin S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2018
Last updated Nov 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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