Provider Demographics
NPI:1740246552
Name:PILKINGTON, NEYLON (MD)
Entity type:Individual
Prefix:
First Name:NEYLON
Middle Name:
Last Name:PILKINGTON
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 1:220 N SIDNEY
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801
Mailing Address - Country:US
Mailing Address - Phone:479-498-0858
Mailing Address - Fax:479-498-0809
Practice Address - Street 1:220 N SIDNEY
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801
Practice Address - Country:US
Practice Address - Phone:479-498-0858
Practice Address - Fax:479-498-0809
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0696208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR129339001Medicaid
AR129339001Medicaid
ARG25774Medicare UPIN