Provider Demographics
NPI:1417936147
Name:VEST, KENNETH KIRK (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:KIRK
Last Name:VEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 VEST LN
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7827
Mailing Address - Country:US
Mailing Address - Phone:501-525-5604
Mailing Address - Fax:501-525-5604
Practice Address - Street 1:190 VEST LN
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7827
Practice Address - Country:US
Practice Address - Phone:501-525-5604
Practice Address - Fax:501-525-5604
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-71602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR50120000000OtherQUAL-CHOICE
AR1021287OtherCIGNA BEHAVIORAL HEALTH
AR114100001Medicaid
AR51227OtherBLUE CROSS & BLUE SHIELD
AR114100001Medicaid
AR269882000OtherMAGELLAN
AR51227OtherBLUE CROSS & BLUE SHIELD
ARC68101Medicare UPIN
AR51227Medicare ID - Type Unspecified
AR17522OtherUNITED BEHAVIORAL HEALTH
AR215165OtherCOMPSYCH
AR50120000000OtherQUAL-CHOICE
AR138682OtherVALUE OPTIONS
AR71-0401764OtherCORPHEALTH
AR114100001Medicaid