Individual
DR. SCOTT PRESTON KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 754-4721
(844) 584-4213
Mailing address
23 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 754-4721
(844) 584-4213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8274
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122528001
—
AR
01
—
55772B690
PTAN
AR
Enumeration date
09/23/2005
Last updated
06/29/2016
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