Individual
MR. KEVIN DALE NEWCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2705
Mailing address
1260 HIGHWAY 5 N, ROMANCE, AR 72136-9618
(501) 257-2705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01597
AR
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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