Most Relevant Information
Provider Data
| NPI Number: | 1003341504 |
| Provider Name: | COLUMBAN KYUHYUN HEO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2017 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
2908 HAWKINS DR
SEARCY
AR
721434802
Practice Location Phone/Fax
| Phone: | 5012030055 |
| Fax: | 5012030060 |
Provider Mailing Location
2908 HAWKINS DR
SEARCY
AR
721434802
Provider Mailing Phone/Fax
| Phone: | 5012030055 |
| Fax: | 5012030060 |