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General NPI Number Information
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NPI Number | 1003016106
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Entity Type | Organization
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Legal Business Name | KENNETH K. VEST,M.D.P.A.
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 190 VEST LN
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7827
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Country | US
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Telephone | 501-525-5604
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Fax | 501-525-5604
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Provider Business Mailing Address
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Address Line | P.O BOX 20407
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City | HOT SPRINGS
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State | AR
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Zip | 71903-0407
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Country | US
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Telephone | 501-525-5604
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Fax | 501-525-5604
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH K. VEST
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Credential | M.D.
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Telephone | 501-525-5604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C7160
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License Number State | AR
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