WILLOW PAIN AND WELLNESS, LLC; NPI #1104300854

Contact Information

WILLOW PAIN AND WELLNESS, LLC

255 MEDICAL CENTER DR.
BATESVILLE, MS 38606

Phone: 662-638-0462
Fax: 866-658-0083
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pain	261QP3300X

Indicates primary specialty

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NPI Profile & details for WILLOW PAIN AND WELLNESS, LLC

NPI # 1104300854

LBN Legal business name WILLOW PAIN AND WELLNESS, LLC

Authorized official KIRK KINARD - (OWNER/ MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/19/2018

Last updated 09/19/2018 - About 8 years ago

Identifiers

Medicaid

04159271

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLOW PAIN AND WELLNESS, LLC

Contact Information

Specialty

Pain

NPI Profile & details for WILLOW PAIN AND WELLNESS, LLC

Reviews for WILLOW PAIN AND WELLNESS, LLC