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Physician Compare National (NPI:1306989918)

HEALTHCARE PROVIDER: ALLEN KEMP ARNOLD JR. D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1306989918
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961587456
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080307000366
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ARNOLD
Individual professional last name
Provider First Name ALLEN
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 1966
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 5604 WENDY BAGWELL PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 211
Group Practice or individual's line 2 address
City HIRAM
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 301417814
Group Practice or individual's zip code (9 digits when available)
Phone Number 7702226807
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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