MR. KYLE COTTON (NPI# 1114318532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318532 |
| Entity Type | Individual |
| Full Name | MR. KYLE COTTON |
| Practice Address |
2526 Highway 65 S Clinton AR 72031 |
| Mailing Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Practice Telephone | 5017458309 |
| Mailing Telephone | 5019782623 |
| Mailing Fax Number | 5016046941 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-583 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE LICENSE | PA-583 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165480 | Kyle James Cotton | Dentist | 406 Turtle Creek Dr, Shreveport, LA 71115-2520 | 2013-07-01 |
| Street Address |
2526 HIGHWAY 65 S |
| City | CLINTON |
| State | AR |
| Zip Code | 72031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1265068019 | Amy Shaw | Counselor | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2020-03-12 |
| 1235624875 | Clinton Butler, LLC | Durable Medical Equipment & Medical Supplies | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2018-06-26 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| 1013190040 | Cheryl L Winningham | Case Manager/Care Coordinator | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419041 | Alexander Sorokin Flecker | Physician Assistant | 200b Eager St, Clinton, MS 39056-4545 | 2020-02-14 |
| 1477190668 | Kimberly Mcraney Watson | Physician Assistant | 907 Oakhill Cir, Clinton, MS 39056-3743 | 2019-12-06 |
| 1649630229 | Elizabeth Atuya | Physician Assistant | 9135 Piscataway Rd Ste 102, Clinton, MD 20735-2548 | 2016-02-25 |
| 1780994376 | Karika Partilia Watkins-hill | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2010-10-15 |
| 1184860827 | George L Carter | Physician Assistant | 10215 Deep Creek Ct, Clinton, MD 20735-5833 | 2008-12-31 |
| 1356471767 | Ann Rebecca Bartholomew | Physician Assistant | 1407 N 2000 W Ste G, Clinton, UT 84015-8563 | 2007-03-06 |
| 1598827172 | Akosua Flora Amankwah Wright | Physician Assistant | 7501 Surratts Rd Ste 303, Clinton, MD 20735-3377 | 2006-12-13 |
| 1356447882 | Mark Goodrich | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-15 |
| 1467556787 | Melanie Decock Wilson | Physician Assistant | 2900 S 25th St Ste B2, Clinton, IA 52732-7250 | 2006-09-08 |
| 1740206630 | Kolleen Marchand | Physician Assistant | 1477 N 2000 W, Clinton, UT 84015-8638 | 2006-07-14 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.