Heath, Kevin David

Heath, Kevin David is an individual health care provider with primary practice located at 455 Hogan Ln , Conway AR 72034-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Heath, Kevin David can be contacted via phone (501) 513-0799.

Contact Information

Primary practice address
455 Hogan Ln Conway AR 72034-8201
Phone: (501) 513-0799
Fax: (501) 513-0798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C6835 Arkansas

Profile Details

NPI number 1992702336
LBN Legal business name Heath, Kevin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 1st, 2012 - about 13 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 1992702336 NPPES
Arkansas MEDICAID 128137001

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