Kellar, Stan L.
Kellar, Stan L. is an sole proprietor health care provider with primary practice located at 3500 Springhill Dr Suite 200 A, North Little Rock AR 72117-2950. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kellar, Stan L. can be contacted via phone (501) 945-0392.Contact Information
Primary practice address
3500 Springhill Dr Suite 200 A
North Little Rock AR 72117-2950
Phone: (501) 945-0392
Fax: (501) 945-0394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C5148 | Arkansas |
Profile Details
| NPI number | 1760453120 |
|---|---|
| LBN Legal business name | Kellar, Stan L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760453120 | NPPES |
| Arkansas | MEDICAID | 104772001 |
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