| Kenneth A Heiles, D.o. Pllc | |
|
203 S Jefferson St Star City AR 71667-5101 | |
| (870) 628-5110 | |
| (870) 628-5949 |
| Full Name | Kenneth A Heiles, D.o. Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 203 S Jefferson St, Star City, Arkansas |
| Authorized Official Name and Position | Kenneth A Heiles (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8706285110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Heiles, D.o. Pllc Po Box 310 Mountain Home AR 72654-0310 Ph: (870) 628-5110 | Kenneth A Heiles, D.o. Pllc 203 S Jefferson St Star City AR 71667-5101 Ph: (870) 628-5110 |
| NPI Number | 1003040213 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003040213 | NPI | - | NPPES |
| 112297003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R3681 (Arkansas) | Primary |
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Star City Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Drew, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
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