Larkus Pesnell
Anesthesiologist General Practice Physician
1127 Main St
Vilonia
, Arkansas 72173-9525
Larkus Pesnell
Anesthesiologist General Practice Physician
1127 Main St
Vilonia
, Arkansas 72173-9525
(870) 347-3492
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About
Features
Specialties
- Anesthesiologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Larkus Pesnell
- 117 S 2nd St Po Box 497
- Augusta, AR
- Zip : 72006-2309
- Fax : (870) 347-3492
- Phone : (870) 347-2534
Second Address
- Larkus Pesnell
- 1127 Main St
- Vilonia, AR
- Zip : 72173-9525
- Fax : (501) 796-6744
- Phone : (501) 796-6740
Reviews
FAQs
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What type of doctor is Larkus Pesnell
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Where is Larkus Pesnell ’s practice located?
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Is Larkus Pesnell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | C4135 | AR |
| Y | 208D00000X | General Practice Physician | C-4135 | AR |
National Provider Identifier
| NPI | 1033193966 |
|---|---|
| Provider Name | Larkus Pesnell |
| First Address | Augusta, AR 72006-2309 |
| Second Address | Vilonia, AR 72173-9525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 03/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100081520A | (05) | OK |
| 106481001 | (05) | AR |
| 770119701 | ARKANSAS BREASTCARE (01) | AR |
| B90473 | (02) |
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.