Individual
AUSTIN JAMES KERKHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C., L.A.T.
Contact information
Practice address
1702 SE J ST, BENTONVILLE, AR 72712-3763
(618) 559-2858
Mailing address
1702 SE J ST, BENTONVILLE, AR 72712-3763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
474
AR
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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