Individual provider · NPI-1

Dr. Wiley Kyle Abbott, MD

Family Medicine · Texarkana, AR

NPI number1992327928
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1992327928
Entity type
Individual (NPI-1)
Name
Dr. Wiley Kyle Abbott
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2020
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineU7815TXYes

Practice location

300 E 6th St
Texarkana, AR 71854-5207

Phone 870-779-6000 · Fax 870-779-6093

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6093

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