Gannoe, Kristin Leigh

Gannoe, Kristin Leigh is an individual health care provider with primary practice located at 28 Rahling Cir , Little Rock AR 72223-9187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Gannoe, Kristin Leigh can be contacted via phone (501) 448-0060.

Contact Information

Primary practice address
28 Rahling Cir Little Rock AR 72223-9187
Phone: (501) 448-0060
Fax: (501) 448-0066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X E3694 Arkansas

Profile Details

NPI number 1811904915
LBN Legal business name Gannoe, Kristin Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811904915 NPPES
Arkansas MEDICAID 150663001

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