Healthcare Provider Details

I. General information

NPI: 1033025317
Provider Name (Legal Business Name): KINGSTON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 MADISON 2620
KINGSTON AR
72742
US

IV. Provider business mailing address

PO BOX 149
KINGSTON AR
72742-0149
US

V. Phone/Fax

Practice location:
  • Phone: 479-665-2835
  • Fax:
Mailing address:
  • Phone: 479-665-2835
  • Fax: 479-665-2577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LAW
Title or Position: SUPERINTENDENT
Credential:
Phone: 479-466-2822