Healthcare Provider Details

I. General information

NPI: 1407414238
Provider Name (Legal Business Name): EMILY KATHRYN REAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 05/04/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 E FRONT ST
LONOKE AR
72086-3219
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-266-7265
  • Fax: 501-266-7269
Mailing address:
  • Phone: 501-266-7265
  • Fax: 501-266-7269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-15696
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: