Individual
CRAIG KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
(479) 521-1532
Mailing address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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