KJ Medical Management

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KJ MEDICAL MANAGEMENT

Practice address

11215 Hermitage Rd
Ste 201
Little Rock, AR 72211-3809

Phone

(501) 414-8218

NPI assigned

Dec 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John C Ware

Title

Administrator

Phone

(501) 414-8218

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1144628983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE RD",
            "address_2": "STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 HERMITAGE RD",
            "address_2": "STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113809",
            "telephone_number": "501-414-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-414-8218"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Martin Kitchens, APRN
• Kitchens' Pediatric Dentistry P.a.
• Michael Timothy Kittell, M.D.
• Albert Lee Kittrell, M.D.
• Tara Catherine Kittrell, APN
• Janine Klar, MD
• KLCL Holding LLC
• Lindsay Klein, LMT
• Sarah Klein, MD
• Jennifer S Kleiner, PHD

• General Practice Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.