Healthcare Provider Details

I. General information

NPI: 1144774670
Provider Name (Legal Business Name): KENDRA HART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 MARKET PLACE AVE STE 400
BRYANT AR
72022-8077
US

IV. Provider business mailing address

706 WALNUT ST
NORTH LITTLE ROCK AR
72114-4968
US

V. Phone/Fax

Practice location:
  • Phone: 501-943-1681
  • Fax:
Mailing address:
  • Phone: 805-815-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA4998
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: