Individual
DR. MICHAEL AUSTIN KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
798 W SERVICE RD, WEST MEMPHIS, AR 72301-1727
(870) 732-2066
Mailing address
232 SUMMITT ST APT 3, MEMPHIS, TN 38104-5370
(479) 964-2670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2820
AR
152W00000X
Optometrist
3595
TN
Other
Enumeration date
07/16/2020
Last updated
08/16/2020
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