Organization
ARKANSAS CARDIOVASCULAR ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES KELLEY III M.D. (PRESIDENT)
(501) 663-6391
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 711, LITTLE ROCK, AR 72205-5302
(501) 663-6391
(501) 663-6978
Mailing address
500 S UNIVERSITY AVE, SUITE 711, LITTLE ROCK, AR 72205-5302
(501) 663-6391
(501) 663-6978
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C-8271
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03010013300
QC
—
01
—
060070984
RAILROAD
AR
05
—
146873001
—
AR
05
—
195920002
—
AR
01
—
2500177
UHC
AR
01
—
5F666
BCBS
AR
01
—
7236050
AETNA
—
Enumeration date
06/26/2006
Last updated
05/01/2013
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