Organization
NEUROSURGERY ARKANSAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE MCWILLIAMS SR. M.H.H. (CLINIC MANAGER)
(501) 224-0200
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DRIVE, SUITE 750, LITTLE ROCK, AR 72205
(501) 224-0200
(501) 224-2292
Mailing address
9601 BAPTIST HEALTH DRIVE, SUITE 750, LITTLE ROCK, AR 72205
(501) 224-0200
(501) 224-2292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155462002
—
AR
01
—
7182611
AETNA
AR
Enumeration date
06/16/2006
Last updated
08/18/2015
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