Individual
NAVIN R KILAMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703-4996
(479) 966-4491
(479) 996-4311
Mailing address
201 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703-4996
(479) 966-4491
(479) 996-4311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35400
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
32000
OK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-13056
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334580001
DMERC
KY
05
—
200626820A
—
OK
Enumeration date
07/07/2006
Last updated
04/29/2020
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