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Jay Kincannon, MD
Pediatric Dermatology Physician in Little Rock, Arkansas
NPI 1184711236

Jay Kincannon is a Pediatric Dermatology Physician based in Little Rock, AR and is specialized in Pediatric Dermatology. Jay Kincannon practices in Little Rock, AR and has the professional credentials of MD. The NPI Number for Jay Kincannon is 1184711236 and holds a License No. C-6844 (Arkansas).

The current practice location address for Jay Kincannon is 1 Childrens Way # 653, Little Rock, AR and can be reached out via phone at 501-364-1100 and via fax at 501-526-5148.

Location: 1 Childrens Way # 653, Little Rock, AR, 72202-3500
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Provider Profile Details
NPI Number
1184711236
Provider Name
Jay Kincannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Childrens Way # 653, Little Rock, AR, 72202-3500
Phone Number
501-364-1100
Fax Number
501-526-5148
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119266001 05 AR
370005986 01 AR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1 Childrens Way # 653
City
State
Zip
72202-3500
Phone Number
501-364-1100
Fax Number
501-526-5148
person
Provider Business Mailing Address Details
Address
1 Childrens Way # 653
City
State
Zip
72202-3500
Phone Number
501-364-1100
Fax Number
501-526-5148
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Pediatric Dermatology
Taxonomy
License No.
C-6844 (Arkansas)
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
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