Individual
KIM NGAN THI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 CORPORATE HILL DR STE 110, LITTLE ROCK, AR 72205-4565
(501) 224-1156
(501) 223-2625
Mailing address
18 CORPORATE HILL DR STE 110, LITTLE ROCK, AR 72205-4565
(501) 978-7113
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
E13055
AR
Other
Enumeration date
04/13/2015
Last updated
07/07/2021
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