Healthcare Provider Details

I. General information

NPI: 1013365006
Provider Name (Legal Business Name): KENDRA ROBERTS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 W ROOSEVELT RD
LITTLE ROCK AR
72204-5662
US

IV. Provider business mailing address

6834 CANTRELL RD
LITTLE ROCK AR
72207-4135
US

V. Phone/Fax

Practice location:
  • Phone: 501-340-7001
  • Fax:
Mailing address:
  • Phone: 501-952-3962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA004736
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: