Branch, Kevin Drake

Branch, Kevin Drake is an individual health care provider with primary practice located at 390 E Longview St , Fayetteville AR 72703-4618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Branch, Kevin Drake can be contacted via phone (479) 442-0144.

Contact Information

Primary practice address
390 E Longview St Fayetteville AR 72703-4618
Phone: (479) 442-0144
Fax: (479) 442-4557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E7537 Arkansas

Profile Details

NPI number 1417034984
LBN Legal business name Branch, Kevin Drake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 13th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417034984 NPPES
Arkansas Other E7537 STATE LICENSE NUMBER

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