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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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