Individual
KEVIN B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 E REELFOOT AVE STE F, UNION CITY, TN 38261-5867
(731) 884-1412
(731) 884-1720
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-7000
(870) 934-3677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
111463
MO
2085R0001X
Radiation Oncology Physician
27989
MS
2085R0001X
Radiation Oncology Physician
57553
TN
2085R0001X
Radiation Oncology Physician
8183
ND
2085R0001X
Radiation Oncology Physician
Primary
E-0729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10859
—
ND
Enumeration date
10/11/2006
Last updated
06/22/2021
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