# KENNETH C. PRATHER, M.D., P.A.

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

## Provider details

- **NPI number:** 1992079917
- **Authorized official:** DR. KENNETH C PRATHER M.D. (PHYSICIAN)
- **Authorized official phone:** (870) 881-4550

## Contact information

- **Practice address:** 460 W OAK, EL DORADO, AR 71730-8525
- **Practice address phone:** (870) 864-5490
- **Practice address fax:** (870) 864-5494
- **Mailing address:** 5500 OAKWOOD DR, EL DORADO, AR 71730-8525
- **Mailing address phone:** (870) 881-4550
- **Mailing address fax:** (870) 881-4550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C-5928 | AR | Yes |

## Other

- **Enumeration date:** 03/08/2012
- **Last updated:** 03/08/2012