Davidson, Kent Wallace
Davidson, Kent Wallace is an individual health care provider with primary practice located at 600 S Mckinley St Suite 405, Little Rock AR 72205-5202. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, Kent Wallace can be contacted via phone (501) 663-3647.Contact Information
Primary practice address
600 S Mckinley St Suite 405
Little Rock AR 72205-5202
Phone: (501) 663-3647
Fax: (501) 663-1706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C5045 | Arkansas |
Profile Details
| NPI number | 1689648396 |
|---|---|
| LBN Legal business name | Davidson, Kent Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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