NPI 1194730077

Western Arkansas Plastic & Reconstructive Surgery Center

Organisation Plastic Surgery Physician Fort Smith, AR

Practice location

Address: 8101 McClure Dr STE 301, Fort Smith, AR 72916-6056
Phone: (479) 709-8300
Fax: (479) 709-8315
Mailing address: PO Box 10810, Fort Smith, AR 72917-0810

Authorised official

Name: James E Kelly
Title: Owner
Phone: (479) 709-8300

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence E0847 (AR)

Other Plastic Surgery providers in Arkansas →

Registry record

NPI: 1194730077
Entity type: Organization
NPI issued: 29 Jul 2006
Record last updated: 8 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.