| Arkansas Family Medicine Pa | |
|
15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 | |
| (501) 725-7919 | |
| Not Available |
| Full Name | Arkansas Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 15400 Chenal Pkwy, Little Rock, Arkansas |
| Authorized Official Name and Position | Allison Richardson (OWNER) |
| Authorized Official Contact | 5017257919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Family Medicine Pa 15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 Ph: (501) 725-7919 | Arkansas Family Medicine Pa 15400 Chenal Pkwy Suite 130 Little Rock AR 72211-2016 Ph: (501) 725-7919 |
| NPI Number | 1902340052 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Medicare PECOS PAC ID | 3779868377 |
|---|---|
| Medicare Enrollment ID | O20170322001744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902340052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alison Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457318065 PECOS PAC ID: 8224009915 Enrollment ID: I20040805000047 |
| Provider Name | Linda G Rollins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504516 PECOS PAC ID: 9032155627 Enrollment ID: I20050705001020 |
| Provider Name | Emily Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578956223 PECOS PAC ID: 9032439435 Enrollment ID: I20150527001050 |
| Provider Name | Amanda Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316414642 PECOS PAC ID: 2466706395 Enrollment ID: I20181113001734 |
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