Pearson, Kenneth E
Pearson, Kenneth E is an individual health care provider with primary practice located at 12921 Cantrell Rd Suite 200, Little Rock AR 72223. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Pearson, Kenneth E can be contacted via phone (501) 221-1200.Contact Information
Primary practice address
12921 Cantrell Rd Suite 200
Little Rock AR 72223
Phone: (501) 221-1200
Fax: (501) 221-1326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 2694 | Arkansas |
Profile Details
| NPI number | 1689898850 |
|---|---|
| LBN Legal business name | Pearson, Kenneth E |
| Credentials | DDS PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689898850 | NPPES |
| Arkansas | MEDICAID | 111380608 | |
| Arkansas | Other | 696033 | |
| Arkansas | Other | 56311 |
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