# LITTLE ROCK GYNECOLOGY & OBSTETRICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124346739
- **Authorized official:** KIM GOLDEN (CLINIC MANAGER)
- **Authorized official phone:** (501) 221-9700

## Contact information

- **Practice address:** 9501 LILE DRIVE, SUITE 770, LITTLE ROCK, AR 72205-6227
- **Practice address phone:** (501) 221-9700
- **Practice address fax:** (501) 221-3239
- **Mailing address:** 9501 LILE DRIVE, SUITE 770, LITTLE ROCK, AR 72205-6227
- **Mailing address phone:** (501) 221-9700
- **Mailing address fax:** (501) 221-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | AR | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | AR | Yes |

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1710008784 | INDIVIDUAL NPI | AR |
| 05 | — | 184318002 | — | AR |
| 01 | — | 1952422925 | INDIVIDUAL NPI | AR |