Individual
OUMITANA KAJKENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 ANDOVER CT STE 400, LITTLE ROCK, AR 72227-3990
(501) 904-5159
(501) 904-5157
Mailing address
2300 ANDOVER CT STE 400, LITTLE ROCK, AR 72227-3990
(501) 904-5159
(501) 904-5157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-3224
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-3224
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154302001
—
AR
01
—
P00105908
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
12/17/2021
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