Individual
DR. KIRK ALLEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 500-3550
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 500-3550
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
51127
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-7585
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199625001
—
AR
01
—
297853YQCR
MEDICARE PTAN
AR
01
—
E7585
AR LICENSE
AR
Enumeration date
05/29/2007
Last updated
12/20/2024
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