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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790205516 NPPES
Arkansas Other XCP990649438 BCBS

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