Individual
KYLE MITCHELL CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3425 N FUTRALL DR, FAYETTEVILLE, AR 72703-4811
(479) 713-8350
(479) 332-0701
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E16204
AR
2084P0804X
Child & Adolescent Psychiatry Physician
E-16204
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
06/21/2024
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