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Organization

SHILOH CLINIC PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM C KENDRICK M.D. (OWNER-PARTNER)
(479) 419-9902
Entity
Organization

Contact information

Practice address
307 N MAIN ST, APT. B, SPRINGDALE, AR 72764-4340
(479) 361-8694
(479) 361-8694
Mailing address
513 N. SHILOH STREET, SPRINGDALE, AR 72764-4314
(479) 419-9902
(479) 419-9905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103290001
AR
05
124288001
AR
Enumeration date
11/18/2010
Last updated
11/18/2010
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