Provider Demographics
NPI:1679970214
Name:HOBBY, KENNETH (PHD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:
Last Name:HOBBY
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5935
Mailing Address - Country:US
Mailing Address - Phone:501-279-4418
Mailing Address - Fax:501-279-4413
Practice Address - Street 1:910 E PARK AVE
Practice Address - Street 2:EZELL CENTER, OFFICE 112
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-279-4418
Practice Address - Fax:501-279-4413
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR91-07P103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical