Individual
DR. KEITH L HARVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N UNIVERSITY AVE, SUITE 201, LITTLE ROCK, AR 72205-2936
(501) 224-1690
(501) 978-7233
Mailing address
920 HARRISON ST STE B, BATESVILLE, AR 72501-6949
(870) 793-3339
(870) 307-0042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3905
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152734001
—
AR
Enumeration date
08/28/2006
Last updated
06/24/2009
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