Provider Demographics
NPI:1851532071
Name:ALL FOR KIDS PEDIATRIC CLINIC, P.A.
Entity Type:Organization
Organization Name:ALL FOR KIDS PEDIATRIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-224-5437
Mailing Address - Street 1:904 AUTUMN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3702
Mailing Address - Country:US
Mailing Address - Phone:501-224-5437
Mailing Address - Fax:501-224-3473
Practice Address - Street 1:904 AUTUMN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3702
Practice Address - Country:US
Practice Address - Phone:501-224-5437
Practice Address - Fax:501-224-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty