MEDICARE: THOMAS L KENNEDY JR MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1528937844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS L KENNEDY JR MD PLLC

Provider Business Mailing Address
First Line	:	403 W OAK ST STE 204
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4574
Country	:	US
Telephone Number	:	501-223-2776
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 W OAK ST STE 204
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4574
Country	:	US
Telephone Number	:	501-223-2776
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	THOMAS KENNEDY
Credential	:
Telephone Number	:	501-223-2776

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

Similar Medicare Providers

1285323519 — ARKANSAS HOSPICE, INC.
Practice Location Address:

403 W OAK ST STE 201
EL DORADO, AR
71730-4574

Practice Phone: 870-862-0337
Practice Fax: 870-862-0727

1134139405 — J. BRANDON MORGAN, MD,PLLC
Practice Location Address:

403 W OAK ST STE 204
EL DORADO, AR
71730-4574

Practice Phone: 870-881-9311
Practice Fax: 870-881-8588

1093725269 — JAMES B MORGAN MD
Practice Location Address:

403 W OAK ST STE 204
EL DORADO, AR
71730-4574

Practice Phone: 870-881-9311
Practice Fax: 870-881-8588

1861070013 — AFAF ASLAM MALIK MD
Practice Location Address:

403 W OAK ST STE 101
EL DORADO, AR
71730-4573

Practice Phone: 870-875-1481
Practice Fax:

1174411243 — AMIE VINSON APRN, FNP-C
Practice Location Address:

528 W FAULKNER ST
EL DORADO, AR
71730-4519

Practice Phone: 870-881-8712
Practice Fax: 501-227-7787

1245467166 — ELDER HOUSE ADULT DAY CARE CENTER
Practice Location Address:

615 W CEDAR ST
EL DORADO, AR
71730-5766

Practice Phone: 870-864-9316
Practice Fax: 870-875-1122

Directions to “THOMAS L KENNEDY JR MD PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.