Bolyard, Keith J
Bolyard, Keith J is an individual health care provider with primary practice located at 3501 W. E. Knight Drive , Fort Smith AR 72903-7994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bolyard, Keith J can be contacted via phone (479) 709-6700.Contact Information
Primary practice address
3501 W. E. Knight Drive
Fort Smith AR 72903-7994
Phone: (479) 709-6700
Fax: (479) 709-6730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | C7460 | Arkansas |
Profile Details
| NPI number | 1356319123 |
|---|---|
| LBN Legal business name | Bolyard, Keith J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jun 7th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356319123 | NPPES |
| Arkansas | Other | 18030000000 | QUALCHOICE |
| Arkansas | Other | 100024370A | QUALCHOICE |
| Arkansas | Other | 0920103 | QUALCHOICE |
| Arkansas | Other | 5160690 | QUALCHOICE |
| Arkansas | Other | 200038806 | QUALCHOICE |
| Arkansas | Other | 3117278 | QUALCHOICE |
| Arkansas | Other | 5K982 | QUALCHOICE |
| Arkansas | MEDICAID | 138844001 | QUALCHOICE |
| Arkansas | Other | 904213 | QUALCHOICE |
Popular Providers
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Sudbrink, David W
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