| Kaley Md Mhs Inc | |
|
4253 N Crossover Rd Fayetteville AR 72703-4593 | |
| (479) 551-9840 | |
| Not Available |
| Full Name | Kaley Md Mhs Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4253 N Crossover Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Sean Kaley (MD) |
| Authorized Official Contact | 5012135625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaley Md Mhs Inc 6 Robson Way Bentonville AR 72712-4106 Ph: () - | Kaley Md Mhs Inc 4253 N Crossover Rd Fayetteville AR 72703-4593 Ph: (479) 551-9840 |
| NPI Number | 1578064812 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 4587928106 |
|---|---|
| Medicare Enrollment ID | O20180508001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578064812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sean N Kaley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366676751 PECOS PAC ID: 1759524341 Enrollment ID: I20130829000553 |
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