Individual
DR. KENNETH DARREN TRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
5525 W 12TH ST, LITTLE ROCK, AR 72204-1715
(501) 663-2142
(501) 663-4415
Mailing address
5525 W 12TH ST, LITTLE ROCK, AR 72204-1715
(501) 663-2142
(501) 663-4415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD7021
AR
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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