Kenneth C. Prather, M.d., P.a.

NPI #1992079917 in El Dorado, Arkansas

Provider Information

NPI Number: 1992079917
Entity Type: Organization
Organization Name: Kenneth C. Prather, M.d., P.a.
Primary Specialty: General Practice
Enumeration Date: Mar 8, 2012
Last Updated: Mar 8, 2012

Practice Location

Address: 460 W OAK
City: El Dorado
State: Arkansas
ZIP Code: 71730-8525
Phone: (870) 864-5490

Authorized Official

Name: DR. KENNETH C PRATHER, M.D.
Title: PHYSICIAN
Phone: (870) 881-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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