| Ivory A. Kinslow, Mdpa | |
|
443 W Oak St, El Dorado, AR 71730 | |
| (870) 862-2340 | |
| (870) 863-4951 |
| Full Name | Ivory A. Kinslow, Mdpa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 443 W Oak St, El Dorado, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376986539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2574 (Arkansas) | Secondary |
| 207W00000X | Ophthalmology | C7743 (Arkansas) | Primary |
| Provider Name | Kristin Christian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902813314 PECOS PAC ID: 0840298923 Enrollment ID: I20061128000336 |
| Provider Name | Ivory A Kinslow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972575702 PECOS PAC ID: 1850371709 Enrollment ID: I20110124000236 |
| Provider Name | Edward L Mcdonnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770542508 PECOS PAC ID: 5193873107 Enrollment ID: I20110302000237 |
| Provider Name | Caroline Corpus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295964153 PECOS PAC ID: 6002072014 Enrollment ID: I20120719000119 |
| Provider Name | Frances Louise Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457739831 PECOS PAC ID: 8921311077 Enrollment ID: I20161222001305 |
| Provider Name | Kirsten Jenelle Mcknight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831541978 PECOS PAC ID: 1254614480 Enrollment ID: I20170213001551 |
| Provider Name | Jacob R Bowen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639659949 PECOS PAC ID: 6002167053 Enrollment ID: I20191008003471 |
| Provider Name | George Ronald Walters |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508875139 PECOS PAC ID: 5092715888 Enrollment ID: I20210702002315 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory A. Kinslow, Mdpa Po Box 11090, El Dorado, AR 71730-0031 Ph: (870) 862-2340 | Ivory A. Kinslow, Mdpa 443 W Oak St, El Dorado, AR 71730 Ph: (870) 862-2340 |