Kyle E Johnson, MD | |
515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | |
(479) 717-7626 | |
(479) 717-7327 |
Full Name | Kyle E Johnson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 515 Enterprise Dr, Lowell, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730307570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E-7121 (Arkansas) | Primary |
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
Mailing Address | Practice Location Address |
---|---|
Kyle E Johnson, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 | Kyle E Johnson, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 |
Priyanka Baweja, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Tonya M Balmakund, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-756-4154 | |
Crystal L. Deweese, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr, Lowell, AR 72745 Phone: 479-717-7626 Fax: 471-717-7327 | |
Robin Lianne Forward-wise, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Dr. Bradley G Goodson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-750-0323 | |
Dr. Randal Scott Scholma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7327 |