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KENNETH EARL MAYO RN
NPI 1104979145
Registered Nurse - Emergency in Little Rock, AR

Active since January 21, 2007
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211(501) 219-7800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Earl Mayo Rn NPPES

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

KENNETH EARL MAYO RN (NPI 1104979145) is an individual emergency provider in Little Rock, Arkansas, licensed in Arkansas (R66175) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104979145
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameKENNETH EARL MAYOCredential: RN
Location Address1701 S SHACKLEFORD RDLittle Rock, AR 72211-4335
Mailing Address1220 Clarence DrConway, AR 72034-5591 · (501) 513-9828
Phone(501) 219-7800
Sole ProprietorYes
Enumeration DateJanuary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104979145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in AR · R66175
1701 S SHACKLEFORD RD, Little Rock, AR 72211
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Other Providers at the Same Location NPPES 20

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

FABER A WHITE MD
Anesthesiology
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7481
DR. JOSEPH BAIRD ASKEW MD
Emergency Medicine
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7000
DAVID GREGORY HINCKLEY M.D.
Emergency Medicine
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7000
GEORGE R HUTCHISON, MD ,PA
Emergency Medicine (Undersea and Hyperbaric Medicine)
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7904
NATURAL STATE WOMENS HEALTH, LLC
Clinic/Center
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7000
COURTNEY NICOLE HOUSE APRN
Nurse Practitioner (Adult Health)
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7000
MRS. ALLISON GREY BAILEY MS, RDN, LD
Dietitian, Registered
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 219-7998
MICHAEL JOSEPH LOGUIDICE M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211
Pulaski County (501) 516-3993

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 Kenneth Mayo's NPI number?

The NPI number for Kenneth Mayo is 1104979145. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Where is Kenneth Mayo located?

Kenneth Mayo practices at 1701 S Shackleford Rd, Little Rock, AR 72211. The listed phone number is (501) 219-7800.

What is Kenneth Mayo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Kenneth Mayo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.