Larry R Killough, MD is a
Family Medicine physician based in Kensett, Arkansas. Larry R Killough is licensed to practice in Arkansas (license number C2942) and his current practice location is 606 Wilbur D Mills North, Kensett, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 742-5697.
NPI number for Larry R Killough is 1437115821 and his current mailing address is 623 N 9th Street, Po Box 497, Augusta, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437115821.
Physician's Profile
| Full Name | Larry R Killough |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 606 Wilbur D Mills North, Kensett, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437115821
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 05/31/2011
Medical Identifiers
Medical identifiers for Larry R Killough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437115821 | NPI | - | NPPES |
| 103621001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C2942 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry R Killough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry R Killough, MD
623 N 9th Street, Po Box 497,
Augusta, AR 72006
Ph: (870) 347-3300 | Larry R Killough, MD
606 Wilbur D Mills North,
Kensett, AR 72082
Ph: (501) 742-5697 |
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