Mahan, Kerry Elizabeth

Mahan, Kerry Elizabeth is an individual health care provider with primary practice located at 1 Mercy Ln Suite 201, Hot Springs AR 71913-6442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mahan, Kerry Elizabeth can be contacted via phone (501) 609-2222.

Contact Information

Primary practice address
1 Mercy Ln Suite 201 Hot Springs AR 71913-6442
Phone: (501) 609-2222
Fax: (501) 321-9689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M0476 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-2055 Arkansas

Profile Details

NPI number 1871556589
LBN Legal business name Mahan, Kerry Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 9th, 2020 - about 4 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 1871556589 NPPES
Texas MEDICAID 170823201
Texas MEDICAID 137704001
Texas MEDICAID 170823204
Texas MEDICAID 170823205
Texas MEDICAID 170823206
Texas MEDICAID 170823203

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