Newcom, Kevin Dale

Newcom, Kevin Dale is an individual health care provider with primary practice located at 2200 Fort Roots Dr , North Little Rock AR 72114-1709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Newcom, Kevin Dale can be contacted via phone (501) 257-2705.

Contact Information

Primary practice address
2200 Fort Roots Dr North Little Rock AR 72114-1709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01597 Arkansas

Profile Details

NPI number 1265453336
LBN Legal business name Newcom, Kevin Dale
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers