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NPI Verification

National Provider Identifier: 1407801707

Kenneth R Meacham, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

101 SKYLINE DR

RUSSELLVILLE, AR 728013363

Phone: 479-498-6583

NPI Enumeration Date

May 24, 2006

NPI Number

1407801707

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry