Organization
IVORY A. KINSLOW, MDPA
Active
Parent organization
IVORY A. KINSLOW, MDPA
Other names
Ivory A. Kinslow, MDPA Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVORY A. KINSLOW, MDPA
Authorized official
SHARON WINN (CEO)
(870) 862-2340
Entity
Organization
Contact information
Practice address
310 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 862-2340
(870) 862-2548
Mailing address
300 THOMPSON AVE, EL DORADO, AR 71730-4569
(870) 862-2340
(870) 862-2548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2574
AR
207W00000X
Ophthalmology Physician
C7743
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376986539
ORGANIZAN NPI
AR
Enumeration date
09/14/2016
Last updated
03/05/2024
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