Dr. Kenneth Jake Sample, MD
Dr. Kenneth Jake Sample, MD is an Internal Medicine in Gravette, Arkansas. Qualified in 2021, 5 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 5
- Licensed in
- AR
- In the registry since
- 2021
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1101 Jackson St SWGravette, AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-5613
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 346 N Main St, Decatur, AR 72722-9732 — (479) 752-3233
- 920 Madison Ave Ste 447, Memphis, TN 38103-3438 — (901) 448-5814
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence E-18299 (AR) |
|---|
Record details
| NPI number | 1699358960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2021 |
| Last updated in NPPES | August 5, 2024 |
| Certification date | August 5, 2024 |
| Mailing address | 1101 Jackson St Sw, Gravette, AR 72736-9121 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sgoh Acquisition Inc — 93 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Gravette
-
Drake Hunter Cullum, MD
1101 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5291