Healthcare Provider Details

I. General information

NPI: 1609796127
Provider Name (Legal Business Name): NORTHWEST ARKANSAS UROLOGY ASSOCIATES & PELVIC HEALTH CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 WILLOW CREEK DR
SPRINGDALE AR
72762-8703
US

IV. Provider business mailing address

5401 WILLOW CREEK DR
SPRINGDALE AR
72762-8703
US

V. Phone/Fax

Practice location:
  • Phone: 479-521-8980
  • Fax: 479-521-1088
Mailing address:
  • Phone: 479-521-8980
  • Fax: 479-521-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: NIRMAL KILAMBI
Title or Position: OWNER
Credential: MD
Phone: 479-521-8980