| Rachel C. King Md Pa | |
|
180 Hwy. 71 South Ashdown AR 71822-8650 | |
| (870) 898-5464 | |
| Not Available |
| Full Name | Rachel C. King Md Pa |
|---|---|
| Speciality | Pediatrics |
| Location | 180 Hwy. 71 South, Ashdown, Arkansas |
| Authorized Official Name and Position | Rachel C. King (PRESIDENT) |
| Authorized Official Contact | 8708985464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel C. King Md Pa Po Box 397 Ashdown AR 71822-0397 Ph: (870) 898-5464 | Rachel C. King Md Pa 180 Hwy. 71 South Ashdown AR 71822-8650 Ph: (870) 898-5464 |
| NPI Number | 1598191850 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 3779711361 |
|---|---|
| Medicare Enrollment ID | O20140103000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598191850 | NPI | - | NPPES |
| 201323002 | Medicaid | AR | |
| 5D147 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-6014 (Arkansas) | Secondary |
| 208000000X | Pediatrics | E-6014 (Arkansas) | Primary |
| Provider Name | Rachel C King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609090869 PECOS PAC ID: 4385794601 Enrollment ID: I20090609000071 |
| Provider Name | Jana N Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841282 PECOS PAC ID: 8628290657 Enrollment ID: I20141106002348 |
| Provider Name | Wesley A Aylett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073017620 PECOS PAC ID: 6507112810 Enrollment ID: I20180628002225 |
| Provider Name | Jana Suzanne Boquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649947318 PECOS PAC ID: 3971901406 Enrollment ID: I20211013001459 |
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