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Kenneth Chan, D.O.

Neurology Physician in Jonesboro, AR · enumerated 2006 · practices at Northeast Arkansas Clinic Charitable Foundation, Inc..

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

National Provider Identifier

1720042138

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Registry record

Entity type Individual (Type 1)
Name Kenneth Chan
Credential D.O.
Sex Male
Practice address 4802 E Johnson Ave, Jonesboro, AR, 72401
Phone (870) 936-8000
Fax (870) 934-3635
Enumeration date Apr 13, 2006
Last updated in NPPES Jan 4, 2016

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License E-0805 (AR) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
129976003 Medicaid AR -

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 Chan?
The National Provider Identifier (NPI) for Kenneth Chan is 1720042138, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenneth Chan practice?
The practice location on file with NPPES is in Jonesboro, 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 2016-01-04.