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CANDOR CLINICIANS PA
NPI 1083380372
Specialist in Fayetteville, AR

Active since August 18, 2021
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703(479) 601-2314(888) 664-5545 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Aug 18, 2021 (2 updates tracked since 2021).

About Candor Clinicians Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDOR CLINICIANS PA (NPI 1083380372) is a healthcare organization registered as a specialist in Fayetteville, Arkansas and active in the NPI registry since August 2021. The organization lists Kennetha Carder, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083380372
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANDOR CLINICIANS PA
Location Address153 E MONTE PAINTER DRFayetteville, AR 72703-4002
Mailing Address4602 W Warbal TrlRogers, AR 72758-8095 · (479) 601-2314 · Fax (888) 664-5545
Phone(479) 601-2314
Fax(888) 664-5545
Organization SubpartNo
Authorized OfficialKennetha CarderOffice Manager · (479) 601-2314
Enumeration DateAugust 18, 2021
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1083380372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
153 E MONTE PAINTER DR, Fayetteville, AR 72703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE GALLIEN
Physical Therapy Assistant
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
BRETT POLASKI OTD
Occupational Therapist
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
DONNA BEALLIS D.O. P.A.
Family Medicine (Adult Medicine)
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
MS. MACIE VAUGHAN SNIDER APRN
Nurse Practitioner (Acute Care)
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
TERRY WEAVER PLLC
Family Medicine
153 E MONTE PAINTER DR, HEALTHSOUTH REHABILITATION HOSPITAL
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
NORTHWEST ARKANSAS REHABILITATION ASSOCIATES
Rehabilitation Hospital
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2200
MS. BLAIR SUZANNE WAGEMANN P.D.
Pharmacist
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 444-2259
MARK E. MILLER, M.D., PA
Family Medicine
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703
Washington County (479) 527-9966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candor Clinicians PA's NPI number?

The NPI number for Candor Clinicians PA is 1083380372. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Candor Clinicians PA located?

Candor Clinicians PA is located at 153 E Monte Painter Dr, Fayetteville, AR 72703. The listed phone number is (479) 601-2314.

What is Candor Clinicians PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Candor Clinicians PA was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.