Active NPI
Chenal Family Practice
- Medical Specialty Clinic/Center
- Little Rock, AR
National Provider Identifier
1013066513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 1398
- Legal business name
- CHENAL FAMILY PRACTICE
- Practice address
- 11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863 - Phone
- (501) 219-1929
- Fax
- (501) 219-0021
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bruce Kennedy, MD
- Title
- Doctor
- Phone
- (501) 219-1929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 1398 | AR | Primary |
Addresses
Primary practice location
11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863
Mailing address
11215 Hermitage Rd
Ste 103
Little Rock, AR 72211-3863
Phone (501) 219-1929
National Provider Directory
National Provider DirectoryLocations
11215 Hermitage Rd
Ste 103
Little Rock, AR 72211
Phone (501) 219-1929
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1326282799
-
- Family Medicine Physician
- Liberty TWP, OH
- NPI 1386752947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1013066513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 HERMITAGE RD",
"address_2": "STE 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113863",
"telephone_number": "501-219-1929",
"fax_number": "501-219-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 HERMITAGE RD",
"address_2": "STE 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113863",
"telephone_number": "501-219-1929",
"fax_number": "501-219-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHENAL FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "501-219-1929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AR",
"license": "1398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.