IndividualActive
Kendall Wilmoth
NPI 1376108951 · Addiction (Substance Use Disorder) Counselor · Little Rock, AR
Provider details
- NPI number
- 1376108951
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
14913 Cooper Orbit Rd
Little Rock, AR 72223-3903
Phone: (501) 614-4914
Mailing address
6301 Father Tribou St
Little Rock, AR 72205-3003
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2019-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.