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Organization
STEPHEN M. KILLINGSWORTH, MD, PA
Active
Organization
STEPHEN M. KILLINGSWORTH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M. KILLINGSWORTH MD (OWNER)
(479) 890-0368
Entity
Organization
Contact information
Practice address
200 N QUANAH AVE, RUSSELLVILLE, AR 72801-2762
(479) 890-0368
(479) 890-7368
Mailing address
200 N QUANAH AVE, RUSSELLVILLE, AR 72801-2762
(479) 890-0368
(479) 890-7368
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
12/15/2010
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