Individual
DR. JOHN HENRY KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4704 TROUT FARM RD, SPRINGDALE, AR 72762-8830
(479) 738-1700
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C5210
AR
208D00000X
General Practice Physician
C5210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105085001
—
AR
01
—
12311000000
QUALCHOICE
AR
01
—
182856
HEALTHLINK
AR
01
—
3904680
HEALTHSOURCE - CIGNA
AR
01
—
450521250
UNITED HEALTHCARE
AR
01
—
450521250727640000
CHAMPUS/TRICARE
AR
01
—
52839
BLUE CROSS/BLUE SHIELD
AR
05
—
770045401
—
AR
Enumeration date
07/31/2006
Last updated
11/19/2025
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