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KELVIN VANN
NPI 1023381894
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since February 09, 2012
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 521-8260(479) 444-7820 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelvin Vann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELVIN VANN (NPI 1023381894) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since February 2012. He maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1023381894
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELVIN VANN
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address1125 N College AveFayetteville, AR 72703-1908 · (479) 521-8260 · Fax (479) 444-7820
Phone(479) 521-8260
Fax(479) 444-7820
Sole ProprietorYes
Enumeration DateFebruary 9, 2012
Last NPPES UpdateApril 26, 2026
NPPES CertifiedApril 26, 2026
✔ NPI 1023381894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License A3690 (MD)
1125 N COLLEGE AVE, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 130205 Stoneybrooke DrSalisbury, MD 21804-2488 · Phone (205) 305-1073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Internal Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
RYAN RUSSELL
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
MS. HEATHER KRISTINE VAUGHN PT
Physical Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelvin Vann's NPI number?

The NPI number for Kelvin Vann is 1023381894. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Kelvin Vann located?

Kelvin Vann practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 521-8260.

What is Kelvin Vann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelvin Vann was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.