Dr. Kerry K Childers
Optomitrist - Corneal and Contact Lenses
723 Falls Blvd S Ste A
Wynne
, Arkansas 72396-3508
Dr. Kerry K Childers
Optomitrist - Corneal and Contact Lenses
723 Falls Blvd S Ste A
Wynne
, Arkansas 72396-3508
(870) 238-4320
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Kerry K Childers
- 723 Falls Blvd S Ste A
- Wynne, AR
- Zip : 72396-3508
- Fax : (870) 238-4320
- Phone : (870) 238-2020
Second Address
- Dr. Kerry K Childers
- 723 Falls Blvd S Ste A
- Wynne, AR
- Zip : 72396-3508
- Fax : (870) 238-4320
- Phone : (870) 238-2020
Reviews
FAQs
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Is Dr. Kerry K Childers a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2038 | AR |
National Provider Identifier
| NPI | 1114906310 |
|---|---|
| Provider Name | Dr. Kerry K Childers |
| First Address | Wynne, AR 72396-3508 |
| Second Address | Wynne, AR 72396-3508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2006 |
| Last Update Date | 17/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102042722 | (05) | AR |
| 64772430001 | PTAN (01) | AR |
| T20126 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.