Organization
ARKANSAS LONGEVITY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OUMITANA KAJKENOVA MD (MEMBER)
(501) 904-5157
Entity
Organization
Contact information
Practice address
2300 ANDOVER CT STE 400, LITTLE ROCK, AR 72227-3990
(501) 904-5157
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
12/17/2021
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