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Contact Information

KORY D MISKIN, DPM
2900 MEDICAL CENTER PKWY STE 300
BENTONVILLE, AR72712-3214
 Phone: 479-553-2664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KORY D MISKIN · (Male)

NPI Number 1215376058
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/14/2013
Last updated 12/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # 269
  • AR Medicaid 217669717
  • OK Medicaid 200681640A
  • Other P01765552 RR MEDICARE
Hospital affiliation(s)
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
  • SILOAM SPRINGS MEMORIAL HOSPITAL - (Acute Care)
    603 NORTH PROGRESS AVENUE
    SILOAM SPRINGS, AR 72761
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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