Individual
DR. KRISTIN LEIGH GANNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 RAHLING CIR, LITTLE ROCK, AR 72223-9187
(501) 448-0060
(501) 448-0066
Mailing address
28 RAHLING CIR, LITTLE ROCK, AR 72223-9187
(501) 448-0060
(501) 448-0066
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
E3694
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150663001
—
AR
Enumeration date
08/02/2006
Last updated
05/21/2008
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