| NPI | 1013066513 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT BRUCE KENNEDY Doctor 501-219-1929 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR 1398) | 
| Enumeration Date | 2007-01-10 | 
| Last Update Date | 2010-11-03 |