NPI 1013066513

Chenal Family Practice

Organisation Medical Specialty Clinic/Center Little Rock, AR

Practice location

Address: 11215 Hermitage Rd STE 103, Little Rock, AR 72211-3863
Phone: (501) 219-1929
Fax: (501) 219-0021

Authorised official

Name: Robert Bruce Kennedy
Title: Doctor
Phone: (501) 219-1929

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 1398 (AR)

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1013066513
Entity type: Organization
NPI issued: 10 Jan 2007
Record last updated: 3 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.