Kenneth C Prather MD

NPI 1023086931 - General Practice - 208D00000X

NPI Details
NPI 1023086931
Gender Male
Enumeration Date 03/08/2006
Last Updated 01/27/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
700 W GROVE ST
EL DORADO AR, 71730-4416, US
Phone (870) 863-2000
Fax
Business Location
5220 BELFORT RD
ATTEN: JULIE KAYE
JACKSONVILLE FL, 32256-6017, US
Phone (904) 446-3737
Fax (870) 864-2490
Toxanomy
Taxonomy Code 208D00000X
License State Arkansas
License Number C5928
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According to our database, Kenneth C Prather MD NPI is 1023086931, taxonomy code is 208D00000X and license number is C5928, license state is located at Arkansas. Kenneth C Prather MD physically located at 700 W Grove St, El Dorado AR, 71730-4416. NPI Number Kenneth C Prather MD has the Individual type.

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1023086931 NPI number is provided on an as is basis without warranty of any kind. 1023086931 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth C Prather MD are for informational purposes only.