MD Larkus Pesnell, NPI 1033193966
General Practice Physician in Vilonia, AR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1033193966 |
| NPI Entity Type | Individual |
| Provider Name | MD Larkus Pesnell |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1127 Main St, Vilonia, AR, US |
| Provider Mailing Address | 117 S 2nd St, Po Box 497, Augusta, AR, US, 720062309 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | C-4135 |
| License State | AR |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| C4135 | AR | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 100081520A | OK | MEDICAID | 05 |
| 106481001 | AR | MEDICAID | 05 |
| 770119701 | AR | ARKANSAS BREASTCARE | 01 |
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