Davidson, Kent Wallace

Davidson, Kent Wallace is an individual health care provider with primary practice located at 600 S Mckinley St Suite 405, Little Rock AR 72205-5202. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, Kent Wallace can be contacted via phone (501) 663-3647.

Contact Information

Primary practice address
600 S Mckinley St Suite 405 Little Rock AR 72205-5202
Phone: (501) 663-3647
Fax: (501) 663-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C5045 Arkansas

Profile Details

NPI number 1689648396
LBN Legal business name Davidson, Kent Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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