Iris T Kennedy in Little Rock - Family

Iris T Kennedy - NPI 1609954148

Iris T Kennedy is a Family in Little Rock, Arkansas. Iris T Kennedy practices all healthcare services and medical treatments related to Family. The NPI Number for Iris T Kennedy is 1609954148. The last update date is 2018-11-16.

Iris T Kennedy's current location address is 1300 Centerview Dr, Little Rock, Arkansas. You can contact this provider via phone number 5012198900 and fax number 8554073924. The mailing address for Iris T Kennedy is 1300 Centerview Dr, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Iris T Kennedy
Address 1300 Centerview Dr, Little Rock, Arkansas
Phone Number 5012198900
Fax Number 8554073924
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1609954148
Provider Enumeration Date 2006-11-01
Last Updated Date 2018-11-16

Provider Mailing Address Detail

Address 1300 Centerview Dr
City Little Rock
State Arkansas (AR)
Post Code 722114349
Phone Number 5012198900
Fax Number 8554073924

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No A02912
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
163108758 AR --

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FAQs about Iris T Kennedy

What is the unique 10-digit identifier code assigned to Iris T Kennedy by the Centers for Medicare & Medicaid Services?

The Iris T Kennedy has been issued the NPI (National Provider Identifier) 1609954148 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Iris T Kennedy located?

The Iris T Kennedy is located at 1300 Centerview Dr, Little Rock, AR 722114349.

What is Iris T Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Iris T Kennedy's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did Iris T Kennedy receive its 1609954148 assignment from the Centers for Medicare & Medicaid Services?

The Iris T Kennedy was assigned its 1609954148 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Iris T Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Iris T Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-11-16.

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