Kenneth A Heiles, D.O. Valid NPI

Individual provider · Family Medicine Physician · Star City, AR

NPI

1184660698

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

R3681 (AR)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-06-22

Last updated

2019-07-12