Healthcare Provider Details

I. General information

NPI: 1538098801
Provider Name (Legal Business Name): C A KUYKENDALL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S ROGERS ST
CLARKSVILLE AR
72830-4330
US

IV. Provider business mailing address

901 S ROGERS ST
CLARKSVILLE AR
72830-4330
US

V. Phone/Fax

Practice location:
  • Phone: 479-667-2101
  • Fax: 479-667-1270
Mailing address:
  • Phone: 479-667-2101
  • Fax: 479-667-1270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHESTER ARTHUR KUYKENDALL JR.
Title or Position: PRESIDENT
Credential:
Phone: 479-667-2101