Provider Demographics
NPI:1295362184
Name:ACKLIN-WEHNERT, SCARLETT MARIE (MD)
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:MARIE
Last Name:ACKLIN-WEHNERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SCARLETT
Other - Middle Name:
Other - Last Name:ACKLIN-WEHNERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3901 PARKWAY CIR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6362
Mailing Address - Country:US
Mailing Address - Phone:479-587-1700
Mailing Address - Fax:479-587-1366
Practice Address - Street 1:60 E MONTE PAINTER DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4014
Practice Address - Country:US
Practice Address - Phone:794-587-1700
Practice Address - Fax:479-587-1366
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE192882085R0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program