Carruth, Jason Kyle

Carruth, Jason Kyle is an individual health care provider with primary practice located at 550 Club Ln Suite 2, Conway AR 72034-3681. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Carruth, Jason Kyle can be contacted via phone (501) 932-0814.

Contact Information

Primary practice address
550 Club Ln Suite 2 Conway AR 72034-3681
Phone: (501) 932-0814
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 084 Arkansas

Profile Details

NPI number 1144637927
LBN Legal business name Carruth, Jason Kyle
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Jul 14th, 2014 - about 10 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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