Healthcare Provider Details

I. General information

NPI: 1003156886
Provider Name (Legal Business Name): INFINITY HEARING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 E KIEHL AVE SUITE B
SHERWOOD AR
72120
US

IV. Provider business mailing address

3115 E KIEHL AVENUE SUITE B
SHERWOOD AR
72120
US

V. Phone/Fax

Practice location:
  • Phone: 501-766-2358
  • Fax: 501-835-9343
Mailing address:
  • Phone: 501-766-2358
  • Fax: 501-835-9343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM A KINKADE
Title or Position: CEO
Credential:
Phone: 501-766-2358