Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | R-3170 | AR |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | R-3170 | AR |
NPI | 1710077201 |
---|---|
Provider Name | James Michael Key |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 25/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112271001 | (05) | AR |
D04652 | (02) |