Kennedy, Alice
Kennedy, Alice is an sole proprietor health care provider with primary practice located at 924 Main St , Conway AR 72032-5424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as her primary health care specialty. Kennedy, Alice can be contacted via phone (501) 327-4444.Contact Information
Primary practice address
924 Main St
Conway AR 72032-5424
Phone: (501) 327-4444
Fax: (501) 327-3962
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | E-13990 | Arkansas |
Profile Details
NPI number | 1396130555 |
---|---|
LBN Legal business name | Kennedy, Alice |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2015 |
Last updated | Sep 15th, 2023 - about 2 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 | 1396130555 | NPPES |
Arkansas | MEDICAID | 273545001 | |
Arkansas | Other | E-13990 |
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