NPI 1659737575 · live from the CMS NPI Registry
Donna M Van Kirk Edd PLLC
Psychologist in Fayetteville, AR. National Provider Identifier 1659737575, active.
NPI record
| NPI | 1659737575 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 204 N East Ave, Fayetteville, AR 72701 |
| Practice phone | 479-466-9609 |
| Mailing address | 31 S Kestrel Dr, Fayetteville, AR 72701 |
| Enumerated | January 7, 2016 |
| Last updated | January 7, 2016 |
| Authorized official | Donna Van Kirk, Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 82-P10 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.