Pope, Kevin L

Pope, Kevin L is an individual health care provider with primary practice located at 55 W Sunbridge Dr , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pope, Kevin L can be contacted via phone (479) 442-6266.

Contact Information

Primary practice address
55 W Sunbridge Dr Fayetteville AR 72703
Phone: (479) 442-6266
Fax: (479) 521-3877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R-4136 Arkansas

Profile Details

NPI number 1669408688
LBN Legal business name Pope, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 20th, 2018 - about 6 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 1669408688 NPPES
Arkansas MEDICAID 117410001
Arkansas MEDICAID 100209160B
Arkansas Other P00194624
Arkansas Other 53627

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