Individual
KRISTOPHER B SHEWMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 KANIS ROAD, STE 501, LITTLE ROCK, AR 72205
(501) 219-8388
(501) 217-2520
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C6666
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111463001
—
AR
Enumeration date
05/16/2006
Last updated
12/07/2016
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