Provider Demographics
NPI:1558867309
Name:VON EDWINS, KIRBY N (MD)
Entity type:Individual
Prefix:DR
First Name:KIRBY
Middle Name:N
Last Name:VON EDWINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-227-7596
Mailing Address - Fax:501-978-1959
Practice Address - Street 1:9501 BAPTIST HEALTH DR STE 600
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6231
Practice Address - Country:US
Practice Address - Phone:501-227-7596
Practice Address - Fax:501-978-1959
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2024-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-17815207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease