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Organization

KJ MEDICAL MANAGEMENT

Active
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Organization

KJ MEDICAL MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN C WARE (ADMINISTRATOR)
(501) 414-8218
Entity
Organization

Contact information

Practice address
11215 HERMITAGE RD, STE 201, LITTLE ROCK, AR 72211-3809
(501) 414-8218
Mailing address
11215 HERMITAGE RD, STE 201, LITTLE ROCK, AR 72211-3809

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
12/10/2014
Last updated
12/10/2014
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