Provider Demographics
NPI:1396881876
Name:HURST, KATHARINE L (MD)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:L
Last Name:HURST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 GARDENS GATE DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-8161
Mailing Address - Country:US
Mailing Address - Phone:501-276-7168
Mailing Address - Fax:501-298-8612
Practice Address - Street 1:110 LA PLAZA WEST
Practice Address - Street 2:SUITE D
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-9735
Practice Address - Country:US
Practice Address - Phone:501-321-2055
Practice Address - Fax:501-321-1505
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3072207P00000X, 208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149593001Medicaid
AR5C5896972OtherMEDICARE LINKED
AR5C589Medicare PIN
AR5C5896972OtherMEDICARE LINKED
G35033Medicare UPIN