CYNTHIA MARIE KILLIP PR NPI 1942897665

NPI Information

NPI: 1942897665
Provider Name: CYNTHIA MARIE KILLIP, PR
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 663-0708
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Cynthia Marie Killip, PR is a peer specialist in Little Rock, AR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Cynthia Marie Killip, PR NPI is 1942897665. 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:

8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209-339
Phone: (501) 663-0708
Fax: (501) 313-4062

The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/5/2023.

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	175T00000X	Peer Specialist		120	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	120	MEDICAID	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

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