Paulson, Kathleen W

Paulson, Kathleen W is an individual health care provider with primary practice located at 63 W Sunbridge Dr , Fayetteville AR 72703-1825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Paulson, Kathleen W can be contacted via phone (479) 582-3366.

Contact Information

Primary practice address
63 W Sunbridge Dr Fayetteville AR 72703-1825
Fax: (479) 582-5843
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X E-2446 Arkansas

Profile Details

NPI number 1962431460
LBN Legal business name Paulson, Kathleen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 8th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962431460 NPPES
Arkansas MEDICAID 140580001
Arkansas Other 5L405
Arkansas Other P00315084

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