NPI 1376986539 · live from the CMS NPI Registry
Ivory A. Kinslow, Mdpa
Ophthalmology in El Dorado, AR. National Provider Identifier 1376986539, active.
NPI record
| NPI | 1376986539 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 443 W Oak St, El Dorado, AR 71730 |
| Practice phone | 870-862-2340 |
| Mailing address | Po Box 11090, El Dorado, AR 71730 |
| Enumerated | April 8, 2013 |
| Last updated | May 16, 2018 |
| Authorized official | Ivory Kinslow, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2574 (AR) |
| Ophthalmology primary | 207W00000X | C7743 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.