Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENT DOUGLAS ENDERLE, PA-C
ActiveMR. KENT DOUGLAS ENDERLE, PA-C is a Medical Physician Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1922116946 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1922116946
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.932299720717 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA-256 (AR)
Practice Information
- Address
-
1100 N COLLEGE AVEFAYETTEVILLE, AR, 727031944Browse AR providers · Browse ZIP 72703
- Phone
- 4794434301
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. JON SCOTT KELLER | PA-C | 1538181078 |
| MS. JANICE RUTH SMITH | PA-C | 1528077021 |
| MS. ANNA MARIE WHITE | PHYSICIAN ASSISTANT | 1083719181 |
| MRS. LISA ALDRIN ROJESKI | PA-C | 1366524092 |
| LAURA LYNN JACKSON | PA-C | 1770817421 |
| BENJAMIN P SEXTON | PA | 1982905444 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.