Boardman, Richard Kenneth

Boardman, Richard Kenneth is an individual health care provider with primary practice located at 129 E Poplar St , Clarksville AR 72830-4212. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Boardman, Richard Kenneth can be contacted via phone (479) 462-3528.

Contact Information

Primary practice address
129 E Poplar St Clarksville AR 72830-4212
Phone: (479) 462-3528
Fax: (479) 754-0384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#1764 Arkansas

Profile Details

NPI number 1508049750
LBN Legal business name Boardman, Richard Kenneth
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Jun 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508049750 NPPES
Arkansas MEDICAID 145522721

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