Organization
LONGEVITY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OUMITANA KAJKENOVA MD (MEMBER)
(337) 991-9276
Entity
Organization
Contact information
Practice address
2300 ANDOVER CT STE 400, LITTLE ROCK, AR 72227-3990
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5334
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
12/11/2023
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