Parker, Kelvin Vashaughn
Parker, Kelvin Vashaughn is an individual health care provider with primary practice located at 2101 Dorchester Dr , Little Rock AR 72204-3446. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Parker, Kelvin Vashaughn can be contacted via phone (501) 348-5963.Contact Information
Primary practice address
2101 Dorchester Dr
Little Rock AR 72204-3446
Phone: (501) 348-5963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 906611532 | Arkansas |
Profile Details
| NPI number | 1457945644 |
|---|---|
| LBN Legal business name | Parker, Kelvin Vashaughn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2021 |
| Last updated | Feb 27th, 2021 - 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 | 1457945644 | NPPES |
| Arkansas | MEDICAID | 86-2265943 |
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