Organization
KEVIN J COLLINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J COLLINS MD (OWNER)
(501) 945-1888
Entity
Organization
Contact information
Practice address
3401 SPRINGHILL DR, SUITE 460, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-1888
(501) 945-4102
Mailing address
PO BOX 25618, LITTLE ROCK, AR 72221-5618
(501) 945-1888
(501) 945-4102
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F100
BCBS OF ARKANSAS
—
01
—
DC5021
RAILROAD MEDICARE
—
Enumeration date
08/07/2006
Last updated
08/22/2020
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