Kajkenova, Oumitana

Kajkenova, Oumitana is an individual health care provider with primary practice located at 2300 Andover Ct Ste 400 , Little Rock AR 72227-3990. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Kajkenova, Oumitana can be contacted via phone (501) 904-5159.

Contact Information

Primary practice address
2300 Andover Ct Ste 400 Little Rock AR 72227-3990
Phone: (501) 904-5159
Fax: (501) 904-5157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-3224 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X E-3224 Arkansas

Profile Details

NPI number 1053401521
LBN Legal business name Kajkenova, Oumitana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 17th, 2021 - about 3 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 1053401521 NPPES
Arkansas MEDICAID 154302001
Arkansas Other P00105908

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