Organization
PHYSICIAN MANAGEMENT SERVICES OF ARKANSAS, LLC
Active
Parent organization
VAXCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAXCARE CORPORATION
Authorized official
BRETT KENEFICK (PRESIDENT)
(888) 829-8550
Entity
Organization
Contact information
Practice address
4683 OLD MILITARY RD, MOUNTAIN HOME, AR 72653-4871
(888) 829-8550
Mailing address
800 N MAGNOLIA AVE STE 700, ORLANDO, FL 32803-3264
(888) 829-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
10/23/2025
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