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Individual

KEVIN MARTIN HURLBUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 444-2207
(479) 444-2381
Mailing address
PO BOX 8638, FAYETTEVILLE, AR 72703-0011
(479) 444-2207
(479) 444-2381

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N-8015
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14676770802
GROUP NPI
AR
Enumeration date
06/10/2005
Last updated
04/02/2008
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