Rouse, Kevin G

Rouse, Kevin G is an individual health care provider with primary practice located at 800 S Church St Ste 400, Jonesboro AR 72401-4176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rouse, Kevin G can be contacted via phone (870) 935-6012.

Contact Information

Primary practice address
800 S Church St Ste 400 Jonesboro AR 72401-4176
Fax: (870) 934-3156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1124 Arkansas

Profile Details

NPI number 1467410241
LBN Legal business name Rouse, Kevin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Oct 27th, 2011 - about 14 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 1467410241 NPPES
Arkansas MEDICAID 136691001

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