Provider Demographics
NPI:1235750506
Name:THARAPPEL, KEVIN J (MBBS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:THARAPPEL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-364-2833
Mailing Address - Fax:501-364-2880
Practice Address - Street 1:4301 WEST MARKHAM STREET
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-364-2833
Practice Address - Fax:501-364-2880
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4351046139207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine