Stanford, Kendall

Stanford, Kendall is an individual health care provider with primary practice located at 800 Marshall St # 653 , Little Rock AR 72202-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Stanford, Kendall can be contacted via phone (501) 364-1050.

Contact Information

Primary practice address
800 Marshall St # 653 Little Rock AR 72202-3510
Phone: (501) 364-1050
Fax: (501) 364-6931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X E-2363 Arkansas

Profile Details

NPI number 1700976362
LBN Legal business name Stanford, Kendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 16th, 2016 - about 8 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 1700976362 NPPES
Arkansas MEDICAID 138949001

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