Kenton Lee Hagan
Kenton Lee Hagan is a Physical Medicine and Rehabilitation in Fayetteville, Arkansas. Graduated from University of Alabama School of Medicine in 2015, 11 years ago. Practices with The Orthopaedic and Joint Preservation Center of Arkansas, PA, a 12-clinician group and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 11
- Trained at
- University of Alabama School of Medicine
- Licensed in
- AR
- In the registry since
- 2015
Practice location Address checks out
3900 N Parkview DrFayetteville, AR 72703-6398
Phone: (479) 966-4187
Fax: (479) 966-4197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence E-12883 (AR) |
|---|
Record details
| NPI number | 1235524653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2015 |
| Last updated in NPPES | September 15, 2020 |
| Certification date | September 15, 2020 |
| Mailing address | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | The Orthopaedic And Joint Preservation Center Of Arkansas, P.A. — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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