Individual
O KINCANNON HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 S THOMPSON ST, SPRINGDALE, AR 72764-7462
(479) 756-1300
(479) 751-7013
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 442-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4746
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162484001
—
AR
Enumeration date
06/03/2006
Last updated
12/20/2021
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