Organization
MEDEVOLVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY KAYE REYNOLDS (CREDENTIALING, AUDIT & COMPLAINCE)
(501) 801-8436
Entity
Organization
Contact information
Practice address
1115 W 3RD ST, LITTLE ROCK, AR 72201-2007
(501) 687-9099
(501) 687-9276
Mailing address
1115 W 3RD ST, LITTLE ROCK, AR 72201-2007
(501) 687-9099
(501) 687-9276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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