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
Phone: (479) 582-3366
Fax: (479) 582-5843
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962431460 | NPPES |
| Arkansas | MEDICAID | 140580001 | |
| Arkansas | Other | 5L405 | |
| Arkansas | Other | P00315084 |
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