Kennedy, Marcus Peter

Kennedy, Marcus Peter is an individual health care provider with primary practice located at 4301 W Markham St Mail Slot 555, Little Rock AR 72205-7199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kennedy, Marcus Peter can be contacted via phone (501) 686-5525.

Contact Information

Primary practice address
4301 W Markham St Mail Slot 555 Little Rock AR 72205-7199
Phone: (501) 686-5525
Fax: (501) 686-7893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X E-5260 Arkansas

Profile Details

NPI number 1932246170
LBN Legal business name Kennedy, Marcus Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 10th, 2008 - about 17 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 1932246170 NPPES
Arkansas Other 07090022400 QUALCHOICE
Arkansas Other P00405677 QUALCHOICE
Arkansas Other 5N843 QUALCHOICE

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