Canfield, Scot Kenneth

Canfield, Scot Kenneth is an individual health care provider with primary practice located at 703 Calvin Avery Dr , West Memphis AR 72301-6501. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Canfield, Scot Kenneth can be contacted via phone (870) 732-1878.

Contact Information

Primary practice address
703 Calvin Avery Dr West Memphis AR 72301-6501
Phone: (870) 732-1878
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 01765 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X S01124CNS Arkansas

Profile Details

NPI number 1104989862
LBN Legal business name Canfield, Scot Kenneth
Credentials PHD,APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2006
Last updated Feb 16th, 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 1104989862 NPPES
Arkansas MEDICAID 169462795

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