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NPI 1104979145

IndividualActive

Kenneth Mayo, RN

NPI 1104979145 · Emergency Registered Nurse · Little Rock, AR

Provider details

NPI number: 1104979145
Entity type: Individual
Primary specialty: Emergency Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: Yes
License: R66175 (AR)

Practice location

1701 S Shackleford Rd

Little Rock, AR 72211-4335

Phone: (501) 219-7800

More AR providers

Mailing address

1220 Clarence Dr

Conway, AR 72034-5591

Registry dates

Enumerated: 2007-01-21
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kenneth Mayo, RN — NPI 1104979145, Little Rock, AR | NPI Central