Kinslow, Ivory Amelia

Kinslow, Ivory Amelia is an individual health care provider with primary practice located at 443 W Oak St , El Dorado AR 71730-4566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kinslow, Ivory Amelia can be contacted via phone (870) 862-2340.

Contact Information

Primary practice address
443 W Oak St El Dorado AR 71730-4566
Phone: (870) 862-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C7743 Arkansas

Profile Details

NPI number 1972575702
LBN Legal business name Kinslow, Ivory Amelia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 4th, 2024 - about last year

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 1972575702 NPPES
Arkansas Other 180037761 RAILROAD MEDICARE
Arkansas Other 15205000000 RAILROAD MEDICARE
Arkansas MEDICAID 126721001 RAILROAD MEDICARE

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