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Individual

KELLY LYNNE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 CHILDRENS WAY # 512-22, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
74976
WI
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
E-18487
AR
208000000X
Pediatrics Physician
E-18487
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05788256
MS
05
1689800401
WI
Enumeration date
06/08/2009
Last updated
12/05/2024
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