Individual
DR. CARL KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 444-6942
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 521-2752
(479) 444-6942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C3132
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106316001
—
AR
01
—
C-3231
MEDICAL LICENSE
AR
Enumeration date
02/09/2006
Last updated
11/27/2007
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