Individual
DR. MARK ALAN KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1502 SE 28TH ST, SUITE 4, BENTONVILLE, AR 72712-3988
(479) 464-9191
(479) 464-8840
Mailing address
4905 S 45TH ST, ROGERS, AR 72758-8935
(479) 464-9191
(479) 464-8840
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E3659
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5M701
ARKANSAS BCBS
AR
Enumeration date
11/20/2006
Last updated
07/20/2007
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