Gati, Kenneth G

Gati, Kenneth G is an individual health care provider with primary practice located at 2700 Vine St , El Dorado AR 71730-6700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gati, Kenneth G can be contacted via phone (870) 862-1144.

Contact Information

Primary practice address
2700 Vine St El Dorado AR 71730-6700
Fax: (870) 864-0782
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E2039 Arkansas

Profile Details

NPI number 1831186709
LBN Legal business name Gati, Kenneth G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 26th, 2008 - about 18 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 1831186709 NPPES
Arkansas MEDICAID 139668001
Arkansas Other 0424120002
Arkansas Other 200038438
Arkansas Other 18697000000

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