| Kenneth C. Prather, M.d., P.a. | |
|
460 W Oak El Dorado AR 71730-8525 | |
| (870) 864-5490 | |
| (870) 864-5494 |
| Full Name | Kenneth C. Prather, M.d., P.a. |
|---|---|
| Speciality | General Practice |
| Location | 460 W Oak, El Dorado, Arkansas |
| Authorized Official Name and Position | Kenneth C Prather (PHYSICIAN) |
| Authorized Official Contact | 8708814550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C. Prather, M.d., P.a. 5500 Oakwood Dr El Dorado AR 71730-8525 Ph: (870) 881-4550 | Kenneth C. Prather, M.d., P.a. 460 W Oak El Dorado AR 71730-8525 Ph: (870) 864-5490 |
| NPI Number | 1992079917 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992079917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C-5928 (Arkansas) | Primary |
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