Kenneth Luke Alderson
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Little Rock, AR
NPI 1427860741 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1427860741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4301 W Markham St
Little Rock, AR 72205-7101 - Phone
- (870) 314-0805
- NPI assigned
- Jan 23, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4301 W Markham St
Little Rock, AR 72205-7101
Mailing address
1315 N University Ave Unit a
Little Rock, AR 72207-5205
Phone (870) 314-0805
Other providers in Little Rock, AR
- Mykiha Alcorn
- Abdulkader Aldaif
- Ivan Aldea
- Rebecca Alycson Aldea
- Jordan Elizabeth Alderson
- Liam Patrick Alderson
- Brenda Venita Aldridge
- Marino Javier Alea Iglesias
- Alex Jones Dental PA
- Albert S Alexander
All providers in Little Rock, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.