Individual
KENDRA BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
638 CALIFORNIA AVE SW, CAMDEN, AR 71701-4604
(870) 836-1346
(870) 836-1446
Mailing address
200 UNION 433, SMACKOVER, AR 71762
(870) 725-0025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157397721
—
AR
01
—
5Y115
BLUE CROSS BLUE SHIELD
AR
01
—
P00178743
MEDICARE RAILROAD
AR
Enumeration date
01/30/2007
Last updated
06/03/2011
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