Individual
KEITH M LIPSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 E HARDING ST, MORRILTON, AR 72110-4507
(501) 354-4637
(501) 552-5326
Mailing address
PO BOX 677, MORRILTON, AR 72110-0677
(501) 354-4637
(501) 552-5326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101625001
—
AR
Enumeration date
10/03/2005
Last updated
02/05/2014
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