Kendrick, Lee W.
Kendrick, Lee W. is an sole proprietor health care provider with primary practice located at 2215 Wildwood Ave Suite 204, Sherwood AR 72120-5089. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kendrick, Lee W. can be contacted via phone (501) 753-2424.Contact Information
Primary practice address
2215 Wildwood Ave Suite 204
Sherwood AR 72120-5089
Phone: (501) 753-2424
Fax: (501) 753-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C7713 | Arkansas |
Profile Details
| NPI number | 1780655167 |
|---|---|
| LBN Legal business name | Kendrick, Lee W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 28th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780655167 | NPPES |
| Arkansas | MEDICAID | 128293001 |
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