Kevin Joseph Homen, RN
Nurse Anesthetist, Certified Registered in Little Rock, AR. Individual provider (NPI-1).
NPI number1467115477
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1467115477
- Entity type
- Individual (NPI-1)
- Name
- Kevin Joseph Homen
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2021
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 231838 | AR | Yes |
| 163W00000X | Registered Nurse | 242696 | TN | |
| 163W00000X | Registered Nurse | 242696 | AR |
Practice location
4301 W Markham St # 515Little Rock, AR 72205-7101
Phone 501-686-8000 · Fax 501-526-5148
Mailing address
4301 W Markham St # 783Little Rock, AR 72205-7101
Phone 501-686-8000 · Fax 501-526-5148
Other practice locations
315 Hospital Dr
Madison, TN 37115-5030
Madison, TN 37115-5030
Phone 800-465-3203
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