Individual
KENNETH CHINCHILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3040 HICKORY RIDGE DR, SHERWOOD, AR 72120-4432
(832) 775-2018
Mailing address
3040 HICKORY RIDGE DR, SHERWOOD, AR 72120-4432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
120399
AR
Other
Enumeration date
11/15/2024
Last updated
11/11/2025
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