Organization
KENNETH C. PRATHER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C PRATHER M.D. (PHYSICIAN)
(870) 881-4550
Entity
Organization
Contact information
Practice address
460 W OAK, EL DORADO, AR 71730-8525
(870) 864-5490
(870) 864-5494
Mailing address
5500 OAKWOOD DR, EL DORADO, AR 71730-8525
(870) 881-4550
(870) 881-4550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C-5928
AR
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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