Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Plastic Surgery Center of Nwa, PA

Organization Plastic Surgery Physician · NPI 1023372208

Plastic Surgery Center of Nwa, PA is a Plastic Surgery Physician in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.

Licensed in
AR
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2900 Medical Center Pkwy Ste 220
Bentonville, AR 72712-3204
Phone: (479) 464-9191
Fax: (479) 464-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence E3659 (AR)

Record details

NPI number1023372208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kendall — Owner · (479) 464-9191
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing address2900 Medical Center Pkwy, Suite 220, Bentonville, AR 72712-3204

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