TIMOTHY M KILLOUGH MD PA NPI 1922111780

NPI Information

  • NPI: 1922111780
  • Provider Name: TIMOTHY M KILLOUGH MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WESTSIDE FAMILY MEDICAL CLINIC
  • Address: 103 WOODLANE DR
    SEARCY, AR
    ZIP 72143
  • Phone: (501) 268-3733

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NPI Details

TIMOTHY M KILLOUGH MD PA is a family medicine in Searcy, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIMOTHY M KILLOUGH MD PA NPI is 1922111780. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Westside Family Medical Clinic.

The provider's business location address is:

103 WOODLANE DR
SEARCY, AR
ZIP 72143
Phone: (501) 268-3733
Fax: (501) 207-6139

The provider's authorized official is Timothy M Killough .
The authorized official title is Owner Physician and has the following contact phone number (501) 268-3733.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/7/2011.

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
1207Q00000XFamily MedicineC7302ARKANSASYes

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
1D87567MEDICARE UPIN
25G594MEDICARE PINARKANSAS
3115507001MEDICAIDARKANSAS

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: 11/21/2025

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