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Kenneth C Prather, MD
General Practice Physician in El Dorado, Arkansas
NPI 1023086931

Kenneth C Prather is a General Practice Physician based in Jacksonville, AR. Kenneth C Prather practices in El Dorado, AR and has the professional credentials of MD. The NPI Number for Kenneth C Prather is 1023086931 and holds a License No. C5928 (Arkansas).

The current practice location address for Kenneth C Prather is 700 W Grove St, El Dorado, AR and can be reached out via phone at 870-863-2000. You can also correspond with Kenneth C Prather through the mailing address at 5220 BELFORT RD, JACKSONVILLE, FL - 32256-6017 (mailing address contact number: 904-446-3737).

Location: 700 W Grove St, El Dorado, AR, 32256-6017
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Provider Profile Details
NPI Number
1023086931
Provider Name
Kenneth C Prather
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 W Grove St, El Dorado, AR, 32256-6017
Phone Number
870-863-2000
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54158 01 AR BLUE CROSS
106158001 05 AR
institution
Provider Business Practice Location Address Details
Address
700 W Grove St
City
State
Zip
71730-4416
Phone Number
870-863-2000
Fax Number
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Provider Business Mailing Address Details
Address
5220 Belfort Rd
City
State
Zip
32256-6017
Phone Number
904-446-3737
Fax Number
904-446-3013
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
C5928 (Arkansas)
Definition
Definition to come...
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