Individual
MR. KENNETH LEONARD NESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1350 S GUTENSOHN RD, STE10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Mailing address
1350 S GUTENSOHN RD, STE10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U080
BCBS PROVIDER #
AR
Enumeration date
01/13/2006
Last updated
07/08/2007
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