NPI 1124228382 · live from the CMS NPI Registry
Carolyn R Reeves, D.O.
Internal Medicine in Centerton, AR. National Provider Identifier 1124228382, active.
NPI record
| NPI | 1124228382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1415 E Centerton Blvd, Centerton, AR 72719 |
| Practice phone | 479-224-1565 |
| Mailing address | 1415 E Centeron Blvd, Centeron, AR 72719 |
| Enumerated | July 24, 2007 |
| Last updated | July 7, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 2006018887 (MO) |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | E6133 (AR) |
| Internal Medicine primary | 207R00000X | E6133 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.