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Individual

KENDALL STANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 MARSHALL ST # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1050
(501) 364-6931
Mailing address
800 MARSHALL ST # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1050
(501) 364-6931

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
E-2363
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138949001
AR
Enumeration date
10/13/2006
Last updated
03/16/2016
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