Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | E-5270 | AR |
NPI | 1023239241 |
---|---|
Provider Name | Dr. Richard Erin Mckelvey |
First Address | Little Rock, AR 72205-2531 |
Second Address | North Little Rock, AR 72114-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 29/09/2011 |