Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | C-3108 | AR |
NPI | 1184968406 |
---|---|
Provider Name | Dr. James Floyd Kyser |
First Address | Little Rock, AR 72207-4731 |
Second Address | Little Rock, AR 72207-4731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 27/11/2012 |