Dr. Stephen M. Killingsworth
Otolaryngology/Facial Plastic Surgery
200 N Quanah Ave
Russellville
, Arkansas 72801-2762
Dr. Stephen M. Killingsworth
Otolaryngology/Facial Plastic Surgery
200 N Quanah Ave
Russellville
, Arkansas 72801-2762
(479) 890-7368
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Stephen M. Killingsworth
- 200 N Quanah Ave
- Russellville, AR
- Zip : 72801-2762
- Fax : (479) 890-7368
- Phone : (479) 890-0368
Second Address
- Dr. Stephen M. Killingsworth
- 200 N Quanah Ave
- Russellville, AR
- Zip : 72801-2762
- Fax : (479) 890-7368
- Phone : (479) 890-0368
Reviews
FAQs
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Is Dr. Stephen M. Killingsworth a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C6433 | AR |
National Provider Identifier
| NPI | 1013985969 |
|---|---|
| Provider Name | Dr. Stephen M. Killingsworth |
| First Address | Russellville, AR 72801-2762 |
| Second Address | Russellville, AR 72801-2762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 15/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 105349001 | (05) | AR |
| 52878 | ARKANSAS BCBS (01) | AR |
| B90345 | (02) | AR |
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.