Organization
MINIMAL ACCESS SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H KENDRICK MD (PRESIDENT)
(479) 738-1700
Entity
Organization
Contact information
Practice address
705 PHILLIPS PL, HUNTSVILLE, AR 72740-6266
(479) 738-1700
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
(479) 738-1700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150384002
—
AR
01
—
5C899
BLUE CROSS/BLUE SHIELD
AR
05
—
770302202
—
AR
Enumeration date
09/06/2006
Last updated
11/19/2025
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