Provider Demographics
NPI:1700284163
Name:COX FAMILY PRACTICE
Entity Type:Organization
Organization Name:COX FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, CNP
Authorized Official - Phone:870-777-0007
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:2015 MAIN STREET
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801
Mailing Address - Country:US
Mailing Address - Phone:870-777-0007
Mailing Address - Fax:870-777-0061
Practice Address - Street 1:2015 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801
Practice Address - Country:US
Practice Address - Phone:870-777-0007
Practice Address - Fax:870-777-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004221261QP2300X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No305R00000XManaged Care OrganizationsPreferred Provider Organization