Individual
MR. KAM S. LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 HIGHWAY 5 N STE 20, MOUNTAIN HOME, AR 72653-3031
(870) 425-6212
(870) 508-6896
Mailing address
230 HIGHWAY 5 N STE 20, MOUNTAIN HOME, AR 72653-3031
(870) 425-6212
(870) 508-6896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-0460
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130001001
—
AR
01
—
5J849
AR BC/BS
AR
Enumeration date
11/06/2006
Last updated
05/10/2021
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