Ivory A. Kinslow, Mdpa

NPI #1124684923 in Magnolia, Arkansas

Provider Information

NPI Number: 1124684923
Entity Type: Organization
Organization Name: Ivory A. Kinslow, Mdpa
Subpart: Yes (part of a larger organization)
Parent Organization: IVORY A. KINSLOW, MDPA
Primary Specialty: Optometrist
Enumeration Date: May 16, 2019
Last Updated: May 16, 2019

Practice Location

Address: 220 N PINE
City: Magnolia
State: Arkansas
ZIP Code: 71753-2905
Phone: (870) 234-4444

Authorized Official

Name: SHARON L WINN
Title: CEO
Phone: (573) 718-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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