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NPI Code Detail

MEDICARE: KENNETH G. SINGLETON M.D.

MEDICARE: KENNETH G. SINGLETON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianE1325AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27270456OTHERARAETNA
3O3090019900OTHERARQUALCHOICE
42355340OTHERARUNITED HEALTHCARE
5626633OTHERARHEALTHLINK

General Provider Information

NPI Number : 1053388355
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH G. SINGLETON M.D.
Provider Business Mailing Address
First Line : 1 LILE CT
Second Line : SUITE 200
City : LITTLE ROCK
State : AR
Zip : 72205-6242
Country : US
Telephone Number : 501-224-5500
Fax Number : 501-224-1166
Provider Business Practice Location Address
First Line : 1 LILE CT STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6240
Country : US
Telephone Number : 501-224-5500
Fax Number : 501-224-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2006
Last Update Date : 04/13/2011

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Directions to “ KENNETH G. SINGLETON M.D.” Practice Location

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