Healthcare Provider Details

I. General information

NPI: 1225143944
Provider Name (Legal Business Name): STEVE K FENDER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 EAST KIEHL AVE
SHERWOOD AR
72120
US

IV. Provider business mailing address

2116 EAST KIEHL AVE
SHERWOOD AR
72120
US

V. Phone/Fax

Practice location:
  • Phone: 501-834-2060
  • Fax: 501-834-2762
Mailing address:
  • Phone: 501-834-2060
  • Fax: 501-834-2762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number899
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: