Keisner, Kim David

Keisner, Kim David is an individual health care provider with primary practice located at 1493 Forest Hills Blvd Ste C, Bella Vista AR 72715-5037. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keisner, Kim David can be contacted via phone (479) 855-3313.

Contact Information

Primary practice address
1493 Forest Hills Blvd Ste C Bella Vista AR 72715-5037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2511 Arkansas

Profile Details

NPI number 1851396980
LBN Legal business name Keisner, Kim David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 8th, 2007 - about 15 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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