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DR. KEVIN C KLEINSCHMIDT MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588670566

Individual Registrant:
DR. KEVIN C KLEINSCHMIDT MD
Gender: M
Sole Proprietor

Location and contact information for practice:
418 N 2ND ST  ASHDOWN, AR 71822-2755 US
Tel: 870-898-5037  Fax: 870-898-4732

Contact information for business:
418 N 2ND ST  ASHDOWN, AR 71822-2755 US
Tel: 870-898-5037  Fax: 870-898-4732

Registration Information:
NPI: 1588670566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARE0986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CLIA04D0953144AR01
TRICAREAP.220001AR01
BLUE CROSS5J650AR01
TAX #861079386AR01
MEDICARE RAILROAD CARRIERP00649786AR01
RAILROAD MCRP00052246AR01
12715600100AR05




HEALTH CARE JOBS AR - Page 1



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