Individual
DR. ALICE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
924 MAIN ST, CONWAY, AR 72032-5424
(501) 327-4444
(501) 327-3962
Mailing address
9800 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6229
(501) 223-8400
(501) 223-3713
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
E-13990
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273545001
—
AR
01
—
E-13990
ARKANSAS MEDICAL LICENSE
AR
Enumeration date
04/03/2015
Last updated
09/15/2023
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