Provider Demographics
NPI:1811407919
Name:ARNOLD, KENYA (ND, NMD)
Entity Type:Individual
Prefix:DR
First Name:KENYA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:ND, NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CHERRY HEIGHTS RD FL 2
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3586
Mailing Address - Country:US
Mailing Address - Phone:541-298-5066
Mailing Address - Fax:
Practice Address - Street 1:301 CHERRY HEIGHTS RD FL 2
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-3586
Practice Address - Country:US
Practice Address - Phone:541-298-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19-1804175F00000X
OR4090175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath