Alisa Lorene Kennan in Lonoke - Specialist
Alisa Lorene Kennan - NPI 1699964841
Alisa Lorene Kennan is a Specialist in Lonoke, Arkansas. Alisa Lorene Kennan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alisa Lorene Kennan is 1699964841. The last update date is 2009-04-24.
Alisa Lorene Kennan's current location address is Po Box 980, Lonoke, Arkansas. You can contact this provider via phone number 5016762786 and fax number 5016760697. The mailing address for Alisa Lorene Kennan is Po Box 980, Lonoke, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Lorene Kennan |
|---|---|
| Address | Po Box 980, Lonoke, Arkansas |
| Phone Number | 5016762786 |
| Fax Number | 5016760697 |
| Sole Proprietor | Y |
| Credentials | MS, OTR/L |
NPI Number Detail
| NPI Number | 1699964841 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2009-04-24 |
Provider Mailing Address Detail
| Address | Po Box 980 |
|---|---|
| City | Lonoke |
| State | Arkansas (AR) |
| Post Code | 720860980 |
| Phone Number | 5016762786 |
| Fax Number | 5016760697 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OTR2143 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identification code assigned to Alisa Lorene Kennan by the Centers for Medicare & Medicaid Services?
The Alisa Lorene Kennan has been issued the NPI (National Provider Identifier) 1699964841. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Alisa Lorene Kennan is located?
The Alisa Lorene Kennan is situated at the following address: Po Box 980, Lonoke, AR, 720860980.
What is Alisa Lorene Kennan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alisa Lorene Kennan is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Alisa Lorene Kennan receive the assignment of its 1699964841 from the Centers for Medicare & Medicaid Services?
The Alisa Lorene Kennan was issued its 1699964841 by the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date was the information pertaining to Alisa Lorene Kennan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alisa Lorene Kennan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-24.