Provider Demographics
NPI:1508070673
Name:FLINN, KEVIN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PATRICK
Last Name:FLINN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12523 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2234
Mailing Address - Country:US
Mailing Address - Phone:501-317-6196
Mailing Address - Fax:501-686-1000
Practice Address - Street 1:2 SAINT VINCENT CIR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5423
Practice Address - Country:US
Practice Address - Phone:501-317-6196
Practice Address - Fax:501-552-4555
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2012-07-02
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Provider Licenses
StateLicense IDTaxonomies
ARE-6912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5AK63Medicare PIN