Ivory A. Kinslow, Mdpa

LBN: Ivory A. Kinslow, Mdpa
Ivory A. Kinslow, Mdpa is an health care organization with primary practice located at 220 N Pine , Magnolia AR 71753-2905. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Ivory A. Kinslow, Mdpa can be contacted via phone (870) 234-4444, or through Winn, Sharon L via phone (573) 718-4808.

Contact Information

Primary practice address
220 N Pine Magnolia AR 71753-2905
Phone: (870) 234-4444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winn, Sharon L
Phone: (573) 718-4808

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1124684923
LBN Legal business name Ivory A. Kinslow, Mdpa
DBA Doing business as
Authorized official Winn, Sharon L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2019
Last updated May 16th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124684923 NPPES
Arkansas Other 2124 OPTOMETRIST LICENSE

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