person
Mr. Kent Douglas Enderle, PA-C
Medical Physician Assistant in Fayetteville, Arkansas
NPI 1922116946

Kent Douglas Enderle is a Medical Physician Assistant based in Fayetteville, AR and is specialized in Medical. Kent Douglas Enderle practices in Fayetteville, AR and has the professional credentials of PA-C. The NPI Number for Kent Douglas Enderle is 1922116946 and holds a License No. PA-256 (Arkansas).

The current practice location address for Kent Douglas Enderle is 1100 N College Ave, Fayetteville, AR and can be reached out via phone at 479-443-4301.

Location: 1100 N College Ave, Fayetteville, AR, 72703-1944
person
Provider Profile Details
NPI Number
1922116946
Provider Name
Kent Douglas Enderle
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1100 N College Ave, Fayetteville, AR, 72703-1944
Phone Number
479-443-4301
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 N College Ave
City
State
Zip
72703-1944
Phone Number
479-443-4301
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N College Ave
City
State
Zip
72703-1944
Phone Number
479-443-4301
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-256 (Arkansas)
Definition
Definition to come...
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