Organization
M.S. CLINC OF ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN T. CHENAULT M.D. (OWNER)
(501) 819-0901
Entity
Organization
Contact information
Practice address
2215 WILDWOOD AVE, SUITE 200, SHERWOOD, AR 72120-5089
(501) 819-0901
(501) 492-6478
Mailing address
2215 WILDWOOD AVE, STE 200, SHERWOOD, AR 72120-5089
(501) 819-0901
(501) 492-6478
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
11/22/2016
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