Whalio Doctors

NPI 1235524653

Kenton Lee Hagan

Practitioner Orthopaedic Surgery Physician Fayetteville, AR

Practice location

Address
3900 N Parkview Dr, Fayetteville, AR 72703-6398
Phone
(479) 966-4187
Fax
(479) 966-4197

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence E-12883 (AR)

Registry record

NPI
1235524653
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Apr 2015
Record last updated
15 Sep 2020

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.