# KJ MEDICAL MANAGEMENT

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

## Provider details

- **NPI number:** 1144628983
- **Authorized official:** JOHN C WARE (ADMINISTRATOR)
- **Authorized official phone:** (501) 414-8218

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014