Kristopher B Shewmake in Little Rock - Plastic Surgery

Kristopher B Shewmake - NPI 1164474722

Kristopher B Shewmake is a Plastic Surgery in Little Rock, Arkansas. Kristopher B Shewmake practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kristopher B Shewmake is 1164474722. The last update date is 2016-12-07.

Kristopher B Shewmake's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000 and fax number 5015266562. The mailing address for Kristopher B Shewmake is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristopher B Shewmake
Address 4301 W Markham St # 783, Little Rock, Arkansas
Phone Number 5016868000
Fax Number 5015266562
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164474722
Provider Enumeration Date 2006-05-16
Last Updated Date 2016-12-07

Provider Mailing Address Detail

Address 4301 W Markham St # 783
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016868000
Fax Number 5015266562

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No C6666
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
111463001 AR --

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FAQs about Kristopher B Shewmake

What is the unique identification code assigned to Kristopher B Shewmake by the Centers for Medicare & Medicaid Services?

The Kristopher B Shewmake has been issued the NPI (National Provider Identifier) 1164474722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kristopher B Shewmake is geographically located?

The Kristopher B Shewmake is physically situated at the following location: 4301 W Markham St # 783, Little Rock, AR, 722057101.

What is the Kristopher B Shewmake's area of specialization and corresponding taxonomy classification?

The Kristopher B Shewmake's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.

On what date did the Kristopher B Shewmake receive its 1164474722 assignment from the Centers for Medicare & Medicaid Services?

The Kristopher B Shewmake was assigned its 1164474722 by the Centers for Medicare & Medicaid Services on 2006-05-16.

As of what date were the Kristopher B Shewmake's details last updated?

The information pertaining to the Kristopher B Shewmake, including its address, specialty, and other details, was most recently updated on 2016-12-07.

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