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UNIVERSITY OF ARKANSAS MEDICAL SCIENCES, AHEC PINE BLUFF
NPI 1881776987
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since October 19, 2006
4747 DUSTY LAKE DR, STE 203, PINE BLUFF, AR 71603(870) 541-9300 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Of Arkansas Medical Sciences, Ahec Pine Bluff NPPES

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

UNIVERSITY OF ARKANSAS MEDICAL SCIENCES, AHEC PINE BLUFF (NPI 1881776987) is a healthcare organization registered as a student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since October 2006. The organization lists Michael Timothy Kittell, Physician, as its authorized official.

NPPES Registry Identity

NPI1881776987
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameUNIVERSITY OF ARKANSAS MEDICAL SCIENCES, AHEC PINE BLUFF
Location Address4747 DUSTY LAKE DR, STE 203Pine Bluff, AR 71603-8742
Mailing Address12 Sezanne CvLittle Rock, AR 72223-5093 · (501) 821-7795
Phone(870) 541-9300
Organization SubpartNo
Authorized OfficialMichael Timothy KittellPhysician · (870) 541-6000
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1881776987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedClinic/Center · Emergency CareTaxonomy 261QE0002X · License E5801 (AR)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License E5801 (AR)
4747 DUSTY LAKE DR, Pine Bluff, AR 71603
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Other Identifiers 2

Medicaid440144201AR
OtherE-5801AR · Arkansas State Medical Board

Other Providers at the Same Location NPPES 5

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

LESLIE AMBER ADAMS APN, DNP
Nurse Practitioner (Family)
4747 DUSTY LAKE DR, SUITE G1
PINE BLUFF, AR 71603
Jefferson County (870) 536-6600
PAUL W DAVIS MD PA
Family Medicine
4747 DUSTY LAKE DR, STE G1
PINE BLUFF, AR 71603
Jefferson County (870) 879-6791
PHYSICIAN'S SLEEP CLINIC PLLC
Clinic/Center (Sleep Disorder Diagnostic)
4747 DUSTY LAKE DR, SUITE 204
PINE BLUFF, AR 71603
Jefferson County (870) 879-6571
JEFFERSON HOSPITAL ASSOCIATION INC
Family Medicine
4747 DUSTY LAKE DR, SUITE 202
PINE BLUFF, AR 71603
Jefferson County (870) 879-3517
MRS. ROSLYN DENISE BURKS APN
Nurse Practitioner (Family)
4747 DUSTY LAKE DR, SUITE G-1
PINE BLUFF, AR 71603
Jefferson County (870) 536-6600

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 University Of Arkansas Medical Sciences, Ahec Pine Bluff's NPI number?

The NPI number for University Of Arkansas Medical Sciences, Ahec Pine Bluff is 1881776987. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is University Of Arkansas Medical Sciences, Ahec Pine Bluff located?

University Of Arkansas Medical Sciences, Ahec Pine Bluff is located at 4747 Dusty Lake Dr Ste 203, Pine Bluff, AR 71603. The listed phone number is (870) 541-9300.

What is University Of Arkansas Medical Sciences, Ahec Pine Bluff'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 University Of Arkansas Medical Sciences, Ahec Pine Bluff was last updated on August 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.