Kasper, Vickie Petz
Kasper, Vickie Petz is an sole proprietor health care provider with primary practice located at 10 Rimrock Rd , Russellville AR 72802-8828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kasper, Vickie Petz can be contacted via phone (479) 970-3775.Contact Information
Primary practice address
10 Rimrock Rd
Russellville AR 72802-8828
Phone: (479) 970-3775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | N-8299 | Arkansas |
Profile Details
| NPI number | 1154387249 |
|---|---|
| LBN Legal business name | Kasper, Vickie Petz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 10th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154387249 | NPPES |
| Arkansas | MEDICAID | 127666001 |
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