Organization
ARKANSAS DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEMMERLY DRAKE THOMAS (BILLING MANAGER)
(501) 515-8136
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155107002
—
AR
Enumeration date
07/26/2006
Last updated
06/09/2025
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