Individual
KORY DEE MISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 300, BENTONVILLE, AR 72712-3214
(479) 553-2664
Mailing address
601 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-9256
(479) 553-2664
(479) 553-2536
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200681640A
—
OK
05
—
217669717
—
AR
01
—
P01765552
RR MEDICARE
—
Enumeration date
06/14/2013
Last updated
12/16/2024
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