Individual
KELLY RICHARD DANKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 E JOYCE BLVD, 2, FAYETTEVILLE, AR 72703-5238
(479) 521-0900
(479) 521-7284
Mailing address
1706 E JOYCE BLVD, 2, FAYETTEVILLE, AR 72703-5238
(479) 521-0900
(479) 521-7284
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E0433
AR
207T00000X
Neurological Surgery Physician
H7718
TX
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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