Individual
DR. KEVIN ALLEN LIVENGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
291 N 1ST ST, JACKSONVILLE, AR 72076-4462
(501) 982-1100
Mailing address
3900 MCCAIN PARK DR, 154, NORTH LITTLE ROCK, AR 72116-7887
(319) 329-4299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2627
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2009
Last updated
06/23/2009
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