King, Tyler Anderson Clark

King, Tyler Anderson Clark is an individual health care provider with primary practice located at 2 St Vincent Circle , Little Rock AR 72205-2936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. King, Tyler Anderson Clark can be contacted via phone (501) 552-4677.

Contact Information

Primary practice address
2 St Vincent Circle Little Rock AR 72205-2936
Phone: (501) 552-4677
Fax: (501) 552-4555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-8548 Arkansas

Profile Details

NPI number 1811287857
LBN Legal business name King, Tyler Anderson Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated May 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811287857 NPPES
Arkansas MEDICAID 204637001

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