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KJ MEDICAL MANAGEMENT NPI 1144628983


NPI Information

NPI: 1144628983
Provider Name: KJ MEDICAL MANAGEMENT
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11215 HERMITAGE RD
STE 201
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 414-8218
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KJ MEDICAL MANAGEMENT is a general practice in Little Rock, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KJ MEDICAL MANAGEMENT NPI is 1144628983. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11215 HERMITAGE RD
STE 201
LITTLE ROCK, AR
ZIP 72211-809
Phone: (501) 414-8218

The provider's authorized official is John C Ware .
The authorized official title is Administrator and has the following contact phone number (501) 414-8218.

The enumeration date for this NPI number is 12/10/2014 and was last updated on 12/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.