Provider Demographics
NPI:1659536563
Name:GIRTMAN, KEVIN (PA)
Entity Type:Individual
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First Name:KEVIN
Middle Name:
Last Name:GIRTMAN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-882-3388
Mailing Address - Fax:501-882-3300
Practice Address - Street 1:47 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-9500
Practice Address - Country:US
Practice Address - Phone:501-882-3388
Practice Address - Fax:501-882-3300
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2022-03-31
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical