Kirby, Cody Bartlett
Kirby, Cody Bartlett is an individual health care provider with primary practice located at 3715 N Business Dr Ste 202 , Fayetteville AR 72703. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Kirby, Cody Bartlett can be contacted via phone (479) 582-0777.Contact Information
Primary practice address
3715 N Business Dr Ste 202
Fayetteville AR 72703
Phone: (479) 582-0777
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Health Educator | 174H00000X |
Profile Details
NPI number | 1790205516 |
---|---|
LBN Legal business name | Kirby, Cody Bartlett |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2017 |
Last updated | Jul 21st, 2022 - about 3 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 | 1790205516 | NPPES |
Arkansas | Other | XCP990649438 | BCBS |
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