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
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | R66175 (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.