Individual
MR. PAUL KILVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
101 BROUGHAM AVE, MARION, AR 72364-2505
(870) 358-4984
Mailing address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 208-8989
(870) 208-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT982
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U281
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
01/23/2007
Last updated
07/09/2007
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