NPI 1235654468
Jaden Kinney, PTA
Practice location
- Address
- 4801 Fairway Ave, North Little Rock, AR 72116
- Phone
- (501) 758-1300
- Fax
- (501) 758-1316
- Mailing address
- 4801 Fairway Ave, North Little Rock, AR 72116-8009
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1235654468
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Aug 2017
- Record last updated
- 21 Jul 2022
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.