KENNETH R MEACHAM M.D.
NPI 1407801707
Urology in Russellville, AR

Q: What is Kenneth Meacham's NPI number?

The NPI number for Kenneth Meacham is 1407801707. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Kenneth Meacham's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Meacham was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 24, 2006

101 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 498-6583(479) 498-6585 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth R Meacham M.d. NPPES

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

KENNETH R MEACHAM M.D. (NPI 1407801707) is an individual urology provider in Russellville, Arkansas, licensed in Arkansas (C4297) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1407801707

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKENNETH R MEACHAMCredential: M.D.

Location Address101 SKYLINE DRRussellville, AR 72801-3363

Mailing Address101 Skyline DrRussellville, AR 72801-3363 · (479) 498-6583 · Fax (479) 498-6585

Phone(479) 498-6583

Fax(479) 498-6585

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateMay 28, 2019

✔ NPI 1407801707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in AR · C4297

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

101 SKYLINE DR, Russellville, AR 72801

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Other Identifiers 1

Medicaid106516001AR

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.

DR. MARK EDWARD BUCHANAN M.D.

Orthopaedic Surgery