STEPHEN M. KILLINGSWORTH MD PA NPI 1760459952

NPI Information

STEPHEN M. KILLINGSWORTH, MD, PA is an otolaryngology/facial plastic surgery otolaryngology in Russellville, AR. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. STEPHEN M. KILLINGSWORTH, MD, PA NPI is 1760459952. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 N QUANAH AVE
RUSSELLVILLE, AR
ZIP 72801-762
Phone: (479) 890-0368
Fax: (479) 890-7368

The provider's authorized official is Stephen M. Killingsworth .
The authorized official title is Owner and has the following contact phone number (479) 890-0368.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 12/15/2010.

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:

Other Identifiers

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

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.