Individual
WILLIAM KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 N SHILOH ST, SPRINGDALE, AR 72764-4959
(479) 419-9902
(479) 419-9950
Mailing address
513 N SHILOH ST, SPRINGDALE, AR 72764-3343
(479) 419-9902
(479) 419-9950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124288001
—
AR
Enumeration date
06/12/2006
Last updated
06/18/2012
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