Ivory A. Kinslow, Mdpa | |
443 W Oak St, El Dorado, AR 71730 | |
(870) 862-2340 | |
(870) 863-4951 |
Full Name | Ivory A. Kinslow, Mdpa |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 443 W Oak St, El Dorado, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376986539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2574 (Arkansas) | Secondary |
207W00000X | Ophthalmology | C7743 (Arkansas) | Primary |
Provider Name | Kristin Christian |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902813314 PECOS PAC ID: 0840298923 Enrollment ID: I20061128000336 |
Provider Name | Ivory A Kinslow |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1972575702 PECOS PAC ID: 1850371709 Enrollment ID: I20110124000236 |
Provider Name | Edward L Mcdonnell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770542508 PECOS PAC ID: 5193873107 Enrollment ID: I20110302000237 |
Provider Name | Caroline Corpus |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295964153 PECOS PAC ID: 6002072014 Enrollment ID: I20120719000119 |
Provider Name | Frances Louise Davis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457739831 PECOS PAC ID: 8921311077 Enrollment ID: I20161222001305 |
Provider Name | Kirsten Jenelle Mcknight |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831541978 PECOS PAC ID: 1254614480 Enrollment ID: I20170213001551 |
Provider Name | Jacob R Bowen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639659949 PECOS PAC ID: 6002167053 Enrollment ID: I20191008003471 |
Provider Name | George Ronald Walters |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508875139 PECOS PAC ID: 5092715888 Enrollment ID: I20210702002315 |
Provider Name | Patrick S. Tate |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235192485 PECOS PAC ID: 7214039106 Enrollment ID: I20220802000777 |
Mailing Address | Practice Location Address |
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Ivory A. Kinslow, Mdpa Po Box 11090, El Dorado, AR 71730-0031 Ph: (870) 862-2340 | Ivory A. Kinslow, Mdpa 443 W Oak St, El Dorado, AR 71730 Ph: (870) 862-2340 |