Provider Demographics
NPI:1215376561
Name:KT CONSULTING PLLC
Entity Type:Organization
Organization Name:KT CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:479-784-0011
Mailing Address - Street 1:PO BOX 7132
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-0124
Mailing Address - Country:US
Mailing Address - Phone:479-784-0011
Mailing Address - Fax:479-784-0012
Practice Address - Street 1:2641 ROGERS AVE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-4145
Practice Address - Country:US
Practice Address - Phone:479-784-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-2638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty