Individual
MR. KYLE HOFFPAUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6 COUNTY ROAD 7010, WYNNE, AR 72396-8470
(870) 238-2233
Mailing address
6 COUNTY ROAD 7010, WYNNE, AR 72396-8470
(870) 238-2233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 1671
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143676721
—
AR
01
—
5X236
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
01/23/2007
Last updated
07/22/2009
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