Kimberly A Head is a Pediatrics in Conway, Arkansas. Kimberly A Head practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly A Head is 1083765705. The last update date is 2007-09-13.
Kimberly A Head's current location address is 519 Mitchell St, Conway, Arkansas. You can contact this provider via phone number 5017338371. The mailing address for Kimberly A Head is 519 Mitchell St, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly A Head |
|---|---|
| Address | 519 Mitchell St, Conway, Arkansas |
| Phone Number | 5017338371 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1083765705 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 519 Mitchell St |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720345162 |
| Phone Number | 5017338371 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT2894 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique provider identifier assigned to Kimberly A Head?
The Kimberly A Head has been issued the NPI (National Provider Identifier) 1083765705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kimberly A Head located?
The Kimberly A Head is located at 519 Mitchell St, Conway, AR 720345162.
What is the Kimberly A Head's specialty and taxonomy code?
The Kimberly A Head's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When did the Kimberly A Head receive its 1083765705?
The Kimberly A Head was issued its 1083765705 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kimberly A Head most recently updated?
The details pertaining to the Kimberly A Head, including its address, specialty, and other relevant information, were last refreshed on 2007-09-13.