Kbmd Consultants | |
2900 Medical Center Pkwy Bentonville AR 72712-3204 | |
(479) 553-1620 | |
Not Available |
Full Name | Kbmd Consultants |
---|---|
Speciality | Clinic/Center |
Location | 2900 Medical Center Pkwy, Bentonville, Arkansas |
Authorized Official Name and Position | Katherine Barton (PRESIDENT) |
Authorized Official Contact | 4798779234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kbmd Consultants 9869 S View Dr Rogers AR 72756-8174 Ph: () - | Kbmd Consultants 2900 Medical Center Pkwy Bentonville AR 72712-3204 Ph: (479) 553-1620 |
NPI Number | 1942738844 |
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Provider Enumeration Date | 05/23/2017 |
Last Update Date | 10/02/2017 |
Medicare PECOS PAC ID | 6002189131 |
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Medicare Enrollment ID | O20170912000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942738844 | NPI | - | NPPES |
200392890 | Medicaid | IN | |
90001082 | Other | IL | BCBS |
000000278474 | Other | IN | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | E-5625 (* (Not Available)) | Primary |
Provider Name | Katherine D Barton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124098041 PECOS PAC ID: 7315040177 Enrollment ID: I20081125000362 |
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