Griffin, Dylan Keith

Griffin, Dylan Keith is an individual health care provider with primary practice located at 119 W Market Ave , Searcy AR 72143-7702. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Griffin, Dylan Keith can be contacted via phone (501) 279-2426.

Contact Information

Primary practice address
119 W Market Ave Searcy AR 72143-7702
Phone: (501) 279-2426
Fax: (501) 279-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R72763 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CO2913 Arkansas

Profile Details

NPI number 1770858854
LBN Legal business name Griffin, Dylan Keith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated May 15th, 2013 - 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 1770858854 NPPES
Arkansas MEDICAID 193554001

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