Healthcare Provider Details

I. General information

NPI: 1447275656
Provider Name (Legal Business Name): KAREN KUO PECK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN KUO M.D.

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 RED WOLF BLVD
JONESBORO AR
72405-9739
US

IV. Provider business mailing address

1001 COUNTY ROAD 759
JONESBORO AR
72405-7742
US

V. Phone/Fax

Practice location:
  • Phone: 870-933-1823
  • Fax:
Mailing address:
  • Phone: 870-268-1377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberE4020
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: