# KATHRYN CHENAULT, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114292638
- **Authorized official:** DR. KATHRYN T. CHENAULT M.D. (PRESIDENT)
- **Authorized official phone:** (501) 819-0901

## Contact information

- **Practice address:** 2215 WILDWOOD AVE, SUITE 200, SHERWOOD, AR 72120-5089
- **Practice address phone:** (501) 819-0901
- **Practice address fax:** (501) 588-3080
- **Mailing address:** 2215 WILDWOOD AVE, SUITE 200, SHERWOOD, AR 72120-5089
- **Mailing address phone:** (501) 819-0901
- **Mailing address fax:** (501) 588-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E0780 | AR | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 03/16/2012