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KID GLOVES SURGICAL SPECIALISTS PLLC NPI 1205687217


NPI Information

NPI: 1205687217
Provider Name: KID GLOVES SURGICAL SPECIALISTS, PLLC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
3623 JOHNSON MILL BLVD STE 101
SPRINGDALE, AR
ZIP 72762
Phone: (501) 349-3182
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KID GLOVES SURGICAL SPECIALISTS, PLLC is a pediatric surgery surgery in Springdale, AR. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. KID GLOVES SURGICAL SPECIALISTS, PLLC NPI is 1205687217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3623 JOHNSON MILL BLVD STE 101
SPRINGDALE, AR
ZIP 72762-412
Phone: (501) 349-3182

The provider's authorized official is Marcene R Mcvay Gillam .
The authorized official title is Owner/manager and has the following contact phone number (501) 349-3182.

The enumeration date for this NPI number is 3/28/2024 and was last updated on 3/28/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryYes

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: 5/5/2024

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