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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