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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1396130555 NPPES
Arkansas MEDICAID 273545001
Arkansas Other E-13990

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