Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | E-9575 | AR |
NPI | 1033476726 |
---|---|
Provider Name | Jay P Hinkle |
First Address | Lowell, AR 72745 |
Second Address | Fayetteville, AR 72703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2012 |
Last Update Date | 07/11/2017 |