Healthcare Provider Details

I. General information

NPI: 1265939342
Provider Name (Legal Business Name): MICHAEL K MAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2523 E HUNTSVILLE RD
FAYETTEVILLE AR
72701-7329
US

IV. Provider business mailing address

PO BOX 1523
FAYETTEVILLE AR
72702-1523
US

V. Phone/Fax

Practice location:
  • Phone: 479-442-2822
  • Fax: 479-582-1754
Mailing address:
  • Phone: 479-571-6038
  • Fax: 479-582-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-12773
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: