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WILEY KYLE ABBOTT MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1992327928
Individual Registrant: WILEY KYLE ABBOTT MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
300 E 6TH ST TEXARKANA, AR 71854-5207 US
Tel: 870-779-6000 Fax: 870-779-6093
Tel: 870-779-6000 Fax: 870-779-6093
Contact information for business:
3417 U OF A WAY TEXARKANA, AR 71854-1419 US
Tel: 870-779-6000 Fax: 870-779-6093
Tel: 870-779-6000 Fax: 870-779-6093
Registration Information:
NPI: 1992327928
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
