Kendrick, John Henry

Kendrick, John Henry is an individual health care provider with primary practice located at 5230 Willow Creek Dr Suite 201, Springdale AR 72762-0876. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kendrick, John Henry can be contacted via phone (479) 927-3100.

Contact Information

Primary practice address
5230 Willow Creek Dr Suite 201 Springdale AR 72762-0876
Phone: (479) 927-3100
Fax: (479) 927-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C5210 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X C5210 Arkansas

Profile Details

NPI number 1902812019
LBN Legal business name Kendrick, John Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 30th, 2010 - about 15 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 1902812019 NPPES
Arkansas Other 450521250727640000 CHAMPUS/TRICARE
Arkansas MEDICAID 100079350B CHAMPUS/TRICARE
Arkansas MEDICAID 105085001 CHAMPUS/TRICARE
Arkansas Other 3904680 CHAMPUS/TRICARE
Arkansas Other 12311000000 CHAMPUS/TRICARE
Arkansas MEDICAID 202391512 CHAMPUS/TRICARE
Arkansas MEDICAID 770045401 CHAMPUS/TRICARE
Arkansas Other 182856 CHAMPUS/TRICARE
Arkansas Other 450521250 CHAMPUS/TRICARE
Arkansas Other 52839 CHAMPUS/TRICARE

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