Search › Arkansas › 208G00000X
Damon Kennedy, DO
NPI 1992733224 · on the registry since 2006
Practice
- Address
- 4802 E Johnson Ave
Jonesboro, AR 72405 - Phone
- (870) 936-8000
- Fax
- (870) 934-3628
- Organisation at this address
- Northeast Arkansas Clinic Charitable Foundation, Inc
Northeast Arkansas Clinic Charitable Foundation, Inc.
Northeast Arkansas Clinic Charitable Foundation, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 115
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 2080P0202X
208600000X
2086S0120X
208G00000X
208G00000X
208G00000X - Licence states on file
- CO, WY, TX, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas