Individual
ANN ADA IKONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 W 7TH ST # 330, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4300 W 7TH ST # 330, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2022-01652
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
01/24/2024
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