Healthcare Provider Details

I. General information

NPI: 1407778434
Provider Name (Legal Business Name): KEVIN MCLEOD ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 OFFICE PARK DR STE A
ARKADELPHIA AR
71923-5346
US

IV. Provider business mailing address

101 OFFICE PARK DR STE A
ARKADELPHIA AR
71923-5346
US

V. Phone/Fax

Practice location:
  • Phone: 870-345-4880
  • Fax: 870-293-1500
Mailing address:
  • Phone: 870-345-4880
  • Fax: 870-293-1500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN C MCLEOD
Title or Position: PRESIDENT
Credential: MD
Phone: 870-345-4880