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

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C-5928 Issued in AR

Legal business name

KENNETH C. PRATHER, M.D., P.A.

Practice address

460 W Oak
El Dorado, AR 71730-8525

Phone

(870) 864-5490

Fax

(870) 864-5494

NPI assigned

Mar 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth C Prather, M.D.

Title

Physician

Phone

(870) 881-4550

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1992079917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OAKWOOD DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308525",
            "telephone_number": "870-881-4550",
            "fax_number": "870-881-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W OAK",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308525",
            "telephone_number": "870-864-5490",
            "fax_number": "870-864-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. PRATHER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-881-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "C-5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in El Dorado, AR
• Providers in El Dorado, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.