Donna M Van Kirk Edd Pllc

LBN: Donna M Van Kirk Edd Pllc
Donna M Van Kirk Edd Pllc is an health care organization with primary practice located at 204 N East Ave , Fayetteville AR 72701-5225. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Donna M Van Kirk Edd Pllc can be contacted via phone (479) 466-9609, or through Van Kirk, Donna M via phone (479) 466-9609.

Contact Information

Primary practice address
204 N East Ave Fayetteville AR 72701-5225
Phone: (479) 466-9609
Fax: (479) 442-5587
Website:
Map and Directions
Authorized official contact:
Name: Van Kirk, Donna M EDD
Phone: (479) 466-9609

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 82-P10 Arkansas

Profile Details

NPI number 1659737575
LBN Legal business name Donna M Van Kirk Edd Pllc
DBA Doing business as
Authorized official Van Kirk, Donna M EDD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 7th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659737575 NPPES
Arkansas MEDICAID 116603719

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