Stephen M. Killingsworth, Md, Pa
LBN: Stephen M. Killingsworth, Md, Pa
Stephen M. Killingsworth, Md, Pa is an health care organization with primary practice located at 200 N Quanah Ave , Russellville AR 72801-2762. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty.
Stephen M. Killingsworth, Md, Pa can be contacted via phone (479) 890-0368, or through Killingsworth, Stephen M. via phone (479) 890-0368.
Contact Information
Primary practice address
200 N Quanah Ave
Russellville AR 72801-2762
Phone: (479) 890-0368
Fax: (479) 890-7368
Website:
Authorized official contact:
Name: Killingsworth, Stephen M. Doctor of Medicine (MD)
Phone: (479) 890-0368
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X |
Profile Details
| NPI number | 1760459952 |
|---|---|
| LBN Legal business name | Stephen M. Killingsworth, Md, Pa |
| DBA Doing business as | |
| Authorized official | Killingsworth, Stephen M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Dec 15th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760459952 | NPPES |
| Arkansas | Other | 5F605 | ARKANSAS BCBS |
| Arkansas | MEDICAID | 132753002 | ARKANSAS BCBS |
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