Individual
DR. MICHAEL DON KILLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1801 RED WOLF BLVD, SUITE 101, JONESBORO, AR 72401-5450
(870) 910-5493
(870) 336-1775
Mailing address
1801 RED WOLF BLVD, SUITE 101, JONESBORO, AR 72401-5450
(870) 910-5493
(870) 336-1775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49893
ABCBS
AR
Enumeration date
09/15/2006
Last updated
09/04/2015
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