Individual
IVORY AMELIA KINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
443 W OAK ST, EL DORADO, AR 71730-4566
(870) 862-2340
Mailing address
443 W OAK ST, EL DORADO, AR 71730-4566
(870) 862-2340
(870) 863-4951
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C7743
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126721001
—
AR
01
—
15205000000
QUALCHOICE
AR
01
—
180037761
RAILROAD MEDICARE
AR
Enumeration date
02/06/2006
Last updated
03/04/2024
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