Kim R Agee
Pulmonary Disease
3344 N Futrall Dr
Fayetteville
, Arkansas 72703-4057
Kim R Agee
Pulmonary Disease
3344 N Futrall Dr
Fayetteville
, Arkansas 72703-4057
(479) 582-7310
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Kim R Agee
- Po Box 1523
- Fayetteville, AR
- Zip : 72702-1523
- Fax : (479) 582-7310
- Phone : (479) 521-8200
Second Address
- Kim R Agee
- 3344 N Futrall Dr
- Fayetteville, AR
- Zip : 72703-4057
- Fax : (479) 582-7310
- Phone : (479) 521-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | C-6784 | AR |
National Provider Identifier
| NPI | 1003851072 |
|---|---|
| Provider Name | Kim R Agee |
| First Address | Fayetteville, AR 72702-1523 |
| Second Address | Fayetteville, AR 72703-4057 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 22/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5K140 | AR BC/BS (01) | AR |
| G27814 | (02) | AR |
| P00192576 | RAILROAD MEDICARE (01) | 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.