Individual
IRIS T KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(855) 407-3924
Mailing address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(855) 407-3924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A002912
AR
363LF0000X
Family Nurse Practitioner
A02912
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163108758
—
AR
Enumeration date
11/01/2006
Last updated
08/22/2024
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