Basic Information
| Provider Information | |||||||||
| NPI: | 1003017302 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KURYLO | ||||||||
| FirstName: | PAWEL | ||||||||
| MiddleName: | KRZYSZTOF | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2424 PEAR ORCHARD DR | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722114351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5018044680 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1120 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SEARCY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721437319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5018044680 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 09/26/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | E-6850 | AR | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.