Individual
KEITH MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 MCCOY RD, NORTH LITTLE ROCK, AR 72117-2454
(501) 766-0151
Mailing address
906 MCCOY RD, NORTH LITTLE ROCK, AR 72117-2454
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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