Individual
KEVIN DOUGLAS CLAYBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 537-1875
Mailing address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 537-1875
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E4359
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00233589
RAILROAD MEDICARE
AR
Enumeration date
02/17/2006
Last updated
12/05/2007
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