Kendrick, Michael Gregory

Kendrick, Michael Gregory is an individual health care provider with primary practice located at 3 Columbine Ct , Little Rock AR 72212-2810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kendrick, Michael Gregory can be contacted via phone (303) 888-5399.

Contact Information

Primary practice address
3 Columbine Ct Little Rock AR 72212-2810
Phone: (303) 888-5399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 036161743 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD449095 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-8555 Arkansas

Profile Details

NPI number 1801069331
LBN Legal business name Kendrick, Michael Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Sep 11th, 2022 - about 3 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 1801069331 NPPES
Arkansas MEDICAID 202861001

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