Stites, Kirk D

Stites, Kirk D is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stites, Kirk D can be contacted via phone (479) 274-4700.

Contact Information

Primary practice address
6801 Rogers Ave Fort Smith AR 72903-4067
Phone: (479) 274-4700
Fax: (479) 274-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E1329 Arkansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17840 Oklahoma

Profile Details

NPI number 1437146586
LBN Legal business name Stites, Kirk D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 17th, 2013 - about 11 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 1437146586 NPPES
Oklahoma MEDICAID 100074580A
Oklahoma Other P00392123
Oklahoma MEDICAID 131755001

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