Shewmake, Kristopher B
Shewmake, Kristopher B is an individual health care provider with primary practice located at 9500 Kanis Road Ste 501, Little Rock AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Shewmake, Kristopher B can be contacted via phone (501) 219-8388.Contact Information
Primary practice address
9500 Kanis Road Ste 501
Little Rock AR 72205
Phone: (501) 219-8388
Fax: (501) 217-2520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | C6666 | Arkansas |
Profile Details
| NPI number | 1164474722 |
|---|---|
| LBN Legal business name | Shewmake, Kristopher B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 7th, 2016 - about 8 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 | 1164474722 | NPPES |
| Arkansas | MEDICAID | 111463001 |
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