Individual
DR. KEVIN L. GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-1131
(479) 314-1194
Mailing address
26 W 26TH CIR, FAYETTEVILLE, AR 72701-7126
(479) 871-3532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23364
MS
207P00000X
Emergency Medicine Physician
E2488
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154160001
—
AR
05
—
200065590A
—
OK
01
—
5M846
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/08/2006
Last updated
06/14/2024
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