| Kenneth R Meacham, MD | |
|
101 Skyline Dr, Russellville, AR 72801-3363 | |
| (479) 498-6583 | |
| (479) 498-6585 |
| Full Name | Kenneth R Meacham |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 101 Skyline Dr, Russellville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407801707 | NPI | - | NPPES |
| 106516001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | C4297 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Meacham, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 498-6583 | Kenneth R Meacham, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 498-6583 |
Charles H Brown, MD Urology Medicare: Medicare Enrolled Practice Location: 2501 West Main Street, Russellville, AR 72801 Phone: 479-968-8765 Fax: 479-967-7072 | |
Mr. Robert A Bell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2301 W Main St, Russellville, AR 72801 Phone: 479-968-3323 Fax: 479-968-2848 |