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Individual
DR. LARRY BRYAN JENNINGS
Active
Individual
DR. LARRY BRYAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2480
AR
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
R2480
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105536003
—
AR
01
—
52660
BLUE CROSS AR
AR
01
—
52660B477
BLUE CROSS ARKANSAS
AR
01
—
P00014273
RAILROAD MEDICARE PIN
AR
Enumeration date
06/17/2005
Last updated
09/16/2026
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