MR. KENNETH ALDWIN PRIEST (NPI# 1295910974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295910974 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ALDWIN PRIEST |
| Credential | M.S. |
| Practice Address |
2323 Washington Ave Conway AR 72032-2766 |
| Mailing Address |
Po Box 344 Conway AR 72033-0344 |
| Practice Telephone | 5014506350 |
| Mailing Telephone | 5014506350 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
89-19EI | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046135 | Kenneth D Priest | Anesthesiology | 3048 Sw 89th St, Suite A, Oklahoma City, OK 73159-6385 | 2005-10-07 |
| Street Address |
2323 WASHINGTON AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851315766 | Charles W Jackson | Psychologist | 210 University Plaza Dr, Conway, SC 29526-8978 | 2006-07-26 |
| 1003369950 | Cariann M Bergner-moore | Psychologist | 1312 Donaghey Ave, Conway, AR 72034-3807 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043717440 | Insight Psychological Services Pllc | Psychologist | 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 | 2018-04-11 |
| 1457875882 | Glenn Gerald Ryals | Psychologist | 712 W 3rd St Ste 100, Little Rock, AR 72201-2221 | 2017-07-27 |
| 1861925968 | Life Trek, LLC | Psychologist | 21 Sycamore St, Cabot, AR 72023-3714 | 2017-04-05 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1245590702 | Andrew Douglas Reichert | Psychologist | 3214 Nw Avignon Way, # 2, Bentonville, AR 72712-3916 | 2012-05-17 |
| 1477863504 | Michael Dee Cannon | Psychologist | 9629 Highway 270, Pine Bluff, AR 71602-9493 | 2010-10-07 |
| 1669707832 | Charles C Lampton | Psychologist | 2725 Orchard Hill Rd, Siloam Springs, AR 72761-8340 | 2009-10-06 |
| 1174752364 | Teresa D Henderson | Psychologist | 3117 Polk Road 44, Mena, AR 71953-3891 | 2009-07-08 |
| 1407000516 | Hillary Hunt | Psychologist | 305 South Palm, Little Rock, AR 72205 | 2008-11-17 |
| 1437300761 | Rosemary Burns | Psychologist | 806 E 22nd St, Russellville, AR 72802-6937 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.