Individual
CLAYTON MICHAEL KIIHNL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 VIRGINIA DR, SUITE C, BATESVILLE, AR 72501-7331
(870) 793-2371
(870) 793-7585
Mailing address
501 VIRGINIA DR, SUITE C, BATESVILLE, AR 72501-7331
(870) 793-2371
(870) 793-7585
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA382
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00889919
PALMETTO GBA RAILROAD
AR
01
—
PA382
LICENSE
AR
Enumeration date
09/01/2009
Last updated
03/16/2011
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