Kendrick, Carl

Kendrick, Carl is an individual health care provider with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kendrick, Carl can be contacted via phone (479) 521-2752.

Contact Information

Primary practice address
3317 N Wimberly Dr Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 444-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C3132 Arkansas

Profile Details

NPI number 1629041751
LBN Legal business name Kendrick, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629041751 NPPES
Arkansas Other C-3231 MEDICAL LICENSE
Arkansas MEDICAID 106316001 MEDICAL LICENSE

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