Individual
DR. KYLE HIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
638 CALIFORNIA AVE SW, CAMDEN, AR 71701-4699
(870) 836-1296
(870) 836-1041
Mailing address
3663 SOUTHFIELD RD, EL DORADO, AR 71730-8738
(479) 366-4168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13679
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660024
NABP
—
01
—
C13679
ADMINISTER IMMUNIZATIONS CERTIFICATION
AR
01
—
PD13679
PHARMACIST LICENSE
AR
Enumeration date
01/23/2021
Last updated
08/14/2023
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