MEDICARE: AARON C KYER PA

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
1	363A00000X	Physician Assistant	PA229	AR

General Provider Information

NPI Number	:	1063404952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON C KYER PA

Provider Business Mailing Address
First Line	:	2200 FORT ROOTS DR RM 108
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114-1709
Country	:	US
Telephone Number	:	501-786-1216
Fax Number	:	501-604-6944

Provider Business Practice Location Address
First Line	:	2200 FORT ROOTS DR RM 108
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114-1709
Country	:	US
Telephone Number	:	501-257-1486
Fax Number	:	501-257-1421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/29/2021

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Directions to “ AARON C KYER PA” Practice Location

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