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Organization

CHENAL FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BRUCE KENNEDY MD (DOCTOR)
(501) 219-1929
Entity
Organization

Contact information

Practice address
11215 HERMITAGE RD, STE 103, LITTLE ROCK, AR 72211-3863
(501) 219-1929
(501) 219-0021
Mailing address
11215 HERMITAGE RD, STE 103, LITTLE ROCK, AR 72211-3863
(501) 219-1929
(501) 219-0021

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1398
AR

Other

Enumeration date
01/10/2007
Last updated
11/03/2010
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