Healthcare Provider Details

I. General information

NPI: 1245469907
Provider Name (Legal Business Name): KEVIN JOSEPH TRIPP AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S MAIN ST
SEARCY AR
72143
US

IV. Provider business mailing address

610 S MAIN ST
SEARCY AR
72143
US

V. Phone/Fax

Practice location:
  • Phone: 501-200-1916
  • Fax: 501-203-0303
Mailing address:
  • Phone: 501-200-1916
  • Fax: 501-203-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA319
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: