Mitchell, Kimberly Raye
Mitchell, Kimberly Raye is an individual health care provider with primary practice located at 215 W Main St , Cabot AR 72023-2944. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mitchell, Kimberly Raye can be contacted via phone (501) 843-7511.Contact Information
Primary practice address
215 W Main St
Cabot AR 72023-2944
Phone: (501) 843-7511
Fax: (501) 605-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2376 | Arkansas |
Profile Details
| NPI number | 1780674101 |
|---|---|
| LBN Legal business name | Mitchell, Kimberly Raye |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Mar 23rd, 2017 - about 9 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 | 1780674101 | NPPES |
| Arkansas | MEDICAID | 120426722 |
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