# SHILOH CLINIC PLC

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

## Provider details

- **NPI number:** 1700188117
- **Authorized official:** WILLIAM C KENDRICK M.D. (OWNER-PARTNER)
- **Authorized official phone:** (479) 419-9902

## Contact information

- **Practice address:** 307 N MAIN ST, APT. B, SPRINGDALE, AR 72764-4340
- **Practice address phone:** (479) 361-8694
- **Practice address fax:** (479) 361-8694
- **Mailing address:** 513 N. SHILOH STREET, SPRINGDALE, AR 72764-4314
- **Mailing address phone:** (479) 419-9902
- **Mailing address fax:** (479) 419-9905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103290001 | — | AR |
| 05 | — | 124288001 | — | AR |