Individual provider · Type 1 NPI

Kenneth Earl Mayo, RN

Emergency Registered Nurse · Little Rock, AR

NPI number 1104979145 Active

Practice location

1701 S Shackleford Rd
Little Rock, AR 72211-4335

Mailing address

1220 Clarence Dr
Conway, AR 72034-5591

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003XR66175 (AR)

Emergency Registered Nurse: Definition to come...

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About NPI 1104979145

Kenneth Earl Mayo, RN's National Provider Identifier is 1104979145, issued on Jan 21, 2007. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Little Rock, AR. The record was last updated on Jul 8, 2007.