KIMBERLY ANN HAVARD APRN-BC NPI 1164419776

NPI Information

NPI: 1164419776
Provider Name: KIMBERLY ANN HAVARD, APRN-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
460 W OAK ST
EL DORADO, AR
ZIP 71730
Phone: (970) 881-4410
Get Directions

Kimberly Ann Havard, APRN-BC is a gerontology nurse practitioner in El Dorado, AR. Kimberly Ann Havard, APRN-BC NPI is 1164419776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 W OAK ST
EL DORADO, AR
ZIP 71730-500
Phone: (970) 881-4410

The enumeration date for this NPI number is 9/29/2005 and was last updated on 4/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	A01510	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P57444	MEDICARE UPIN	ARKANSAS
2	5W631	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »