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Individual

MR. KEVIN JEROME COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 SPRINGHILL DRIVE, SUITE 460, NORTH LITTLE ROCK, AR 72117-2942
(501) 945-1888
(501) 945-4102
Mailing address
3401 SPRINGHILL DRIVE, SUITE 460, NORTH LITTLE ROCK, AR 72117-2942
(501) 945-1888
(501) 945-4102

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35060536
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N8372
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123742001
AR
01
N8372
OTHER LICESE NUMBER
AR
Enumeration date
04/20/2006
Last updated
03/07/2023
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