King, Tyler Anderson Clark
King, Tyler Anderson Clark is an individual health care provider with primary practice located at 2 St Vincent Circle , Little Rock AR 72205-2936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. King, Tyler Anderson Clark can be contacted via phone (501) 552-4677.Contact Information
Primary practice address
2 St Vincent Circle
Little Rock AR 72205-2936
Phone: (501) 552-4677
Fax: (501) 552-4555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E-8548 | Arkansas |
Profile Details
| NPI number | 1811287857 |
|---|---|
| LBN Legal business name | King, Tyler Anderson Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2011 |
| Last updated | May 18th, 2023 - about last year |
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 | 1811287857 | NPPES |
| Arkansas | MEDICAID | 204637001 |
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