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Dr. Kenneth Jake Sample, MD

Internal Medicine Physician in Gravette, AR · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699358960

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Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth Jake Sample
Credential MD
Sex Male
Practice address 1101 Jackson St Sw, Gravette, AR, 72736
Phone (479) 787-5221
Fax (479) 787-5613
Enumeration date May 4, 2021
Last updated in NPPES Aug 5, 2024

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License E-18299 (AR) Primary
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenneth Sample?
The National Provider Identifier (NPI) for Kenneth Sample is 1699358960, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenneth Sample practice?
The practice location on file with NPPES is in Gravette, AR. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-05.