Search › Arkansas › 171M00000X
Keagan Vandyke
NPI 1497691976 · on the registry since 2026
Practice
- Address
- 418 S 17th St
Fort Smith, AR 72901 - Phone
- (479) 452-6650
- Fax
- (479) 452-5847
- Clinicians at this address
- 6
Additional practice sites
- 3111 S 70th St, Fort Smith, AR
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas