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Contact Information

KEVIN L POPE, MD
55 W SUNBRIDGE DR
FAYETTEVILLE, AR72703
 Phone: 479-442-6266
 Fax: 479-521-3877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for KEVIN L POPE · (Male)

NPI Number 1669408688
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # R-4136
  • AR Medicaid 117410001
  • OK Medicaid 100209160B
  • AR Other 53627 AR BC/BS
  • AR Other P00194624 RR MCR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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