MR. KYLE RYAN KEITH (NPI# 1538709290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538709290 |
| Entity Type | Individual |
| Full Name | MR. KYLE RYAN KEITH |
| Practice Address |
25 Murphy Dr Bella Vista AR 72715-6913 |
| Practice Telephone | 4795448901 |
| Mailing Telephone | 4795448901 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
25 MURPHY DR |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| 1932165982 | Mountaincrest Rehab of Bella Vista, Inc. | Physical Therapist | 1801 Forest Hills Blvd, Ste #205, Bella Vista, AR 72715 | 2006-04-26 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| Find all providers in zip 72715 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032702 | Christopher Ray Rouse | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-07 |
| 1588160634 | Terri Lashun Butler | Peer Specialist | 15 Azalea Loop, Conway, AR 72032-8522 | 2018-04-05 |
| 1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
| 1750994257 | Laretta Machelle Solomon | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-25 |
| 1053944504 | Lonnie Phillips | Peer Specialist | 1521 Merrill Dr, Little Rock, AR 72211-1821 | 2020-02-12 |
| 1679127450 | Donterries L Alexander | Peer Specialist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-07-30 |
| 1437621018 | Gary Wade Carter | Peer Specialist | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1487993655 | Judy Weaver | Peer Specialist | 350 Salem Rd Ste 1, Conway, AR 72034 | 2013-02-08 |
| 1386898765 | Raymond Zachary Bates | Peer Specialist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2008-11-11 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.