Healthcare Provider Details

I. General information

NPI: 1164336871
Provider Name (Legal Business Name): JAMES K CALHOUN EMT P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 DEGRAY RD
ARKADELPHIA AR
71923-7121
US

IV. Provider business mailing address

1527 DEGRAY RD
ARKADELPHIA AR
71923-7121
US

V. Phone/Fax

Practice location:
  • Phone: 870-703-5452
  • Fax:
Mailing address:
  • Phone: 870-703-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number31603
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: