Reynolds, Kirk Allen

Reynolds, Kirk Allen is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reynolds, Kirk Allen can be contacted via phone (501) 663-3647.

Contact Information

Primary practice address
800 Fair Park Blvd Little Rock AR 72204
Phone: (501) 663-3647
Fax: (501) 666-9652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 51127 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X E-7585 Arkansas

Profile Details

NPI number 1013118025
LBN Legal business name Reynolds, Kirk Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 6th, 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 1013118025 NPPES
Arkansas Other 297853YQCR MEDICARE PTAN
Arkansas MEDICAID 199625001 MEDICARE PTAN
Arkansas Other E7585 MEDICARE PTAN

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