Doctor Name: | DR. KEITH L HARVILLE |
NPI Number: | 1528176740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E3905 |
Business Practice Address: | 701 N University Ave Suite 201 Little Rock, AR - 722052936 |
Business Phone Number: | 5012241690 |
Business Fax Number: | 5019787233 |
Mailing Address: | 920 Harrison St Ste B, BATESVILLE |
State: | AR |
Postal Code: | 725016949 |
Phone Number: | 8707933339 |
Fax Number: | 8703070042 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E3905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |