Haney, Rondall Kevin
Haney, Rondall Kevin is an individual health care provider with primary practice located at 5433 Walsh Lane , Rogers AR 72758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Haney, Rondall Kevin can be contacted via phone (479) 464-8346.Contact Information
Primary practice address
5433 Walsh Lane
Rogers AR 72758
Phone: (479) 464-8346
Fax: (479) 464-9046
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | C-8120 | Arkansas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C-8120 | Arkansas |
Profile Details
NPI number | 1770525594 |
---|---|
LBN Legal business name | Haney, Rondall Kevin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Sep 15th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770525594 | NPPES |
Arkansas | Other | P00255263 | RR MCR |
Arkansas | MEDICAID | 127110001 | RR MCR |
Arkansas | Other | 5J657 | RR MCR |
Arkansas | MEDICAID | 200060590A | RR MCR |
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