CHENAL FAMILY PRACTICE NPI 1013066513

NPI Information

CHENAL FAMILY PRACTICE is a medical specialty clinic center in Little Rock, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHENAL FAMILY PRACTICE NPI is 1013066513. The provider is registered as an organization entity type.

The provider's business location address is:

11215 HERMITAGE RD
STE 103
LITTLE ROCK, AR
ZIP 72211-863
Phone: (501) 219-1929
Fax: (501) 219-0021

The provider's authorized official is Robert Bruce Kennedy .
The authorized official title is Doctor and has the following contact phone number (501) 219-1929.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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