NPI 1184711236

Jay Kincannon, MD

Practitioner Pediatric Dermatology Physician Little Rock, AR

Practice location

Address: 1 Childrens Way # 653, Little Rock, AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 526-5148

Registered specialties

Pediatric Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence C-6844 (AR)

Other Dermatology providers in Arkansas →

Registry record

NPI: 1184711236
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2006
Record last updated: 17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.