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Organization

KATHRYN CHENAULT, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN T. CHENAULT M.D. (PRESIDENT)
(501) 819-0901
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E0780
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133743001
AR
Enumeration date
03/16/2012
Last updated
03/16/2012
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