Dr Mark Alan Kendall, MD is a
Plastic Surgery physician based in Bentonville, Arkansas. Dr Mark Alan Kendall is licensed to practice in Arkansas (license number E3659) and his current practice location is 1502 Se 28th St, Suite 4, Bentonville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 464-9191.
NPI number for Dr Mark Alan Kendall is 1982778155 and his current mailing address is 4905 S 45th St, Rogers, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982778155.
Physician's Profile
| Full Name | Dr Mark Alan Kendall |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1502 Se 28th St, Bentonville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982778155
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/20/2007
Medical Identifiers
Medical identifiers for Dr Mark Alan Kendall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982778155 | NPI | - | NPPES |
| 5M701 | Other | AR | ARKANSAS BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | E3659 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Alan Kendall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Alan Kendall, MD
4905 S 45th St,
Rogers, AR 72758-8935
Ph: (479) 464-9191 | Dr Mark Alan Kendall, MD
1502 Se 28th St, Suite 4,
Bentonville, AR 72712-3988
Ph: (479) 464-9191 |
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