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Individual

JOSHUA L. KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E-7922
AR
207R00000X
Internal Medicine Physician
E-7922
AR
208000000X
Pediatrics Physician
E-7922
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199806001
AR
Enumeration date
04/12/2007
Last updated
06/01/2016
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