Individual
MR. KYLE COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 HIGHWAY 65 S, CLINTON, AR 72031
(501) 745-8309
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 978-2623
(501) 604-6941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-583
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-583
STATE LICENSE
AR
Enumeration date
02/06/2015
Last updated
01/11/2019
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