Healthcare Provider Details

I. General information

NPI: 1881652345
Provider Name (Legal Business Name): DANNY HANDFORD KENT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: DAN H KENT D.C.

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3246 HIGHWAY 67
WALNUT RIDGE AR
72476-8441
US

IV. Provider business mailing address

PO BOX 683 3246 HWY 67 NORTH
WALNUT RIDGE AR
72476-0683
US

V. Phone/Fax

Practice location:
  • Phone: 870-886-2999
  • Fax: 870-886-2999
Mailing address:
  • Phone: 870-886-2999
  • Fax: 870-886-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number879
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: