Healthcare Provider Details

I. General information

NPI: 1386578466
Provider Name (Legal Business Name): COLTER HINCHEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1482 SOUTHSIDE RD
BEE BRANCH AR
72013-9144
US

IV. Provider business mailing address

1482 SOUTHSIDE RD
BEE BRANCH AR
72013-9144
US

V. Phone/Fax

Practice location:
  • Phone: 501-757-1769
  • Fax:
Mailing address:
  • Phone: 501-757-1769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number159457
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: