Stine, Kimo C

Stine, Kimo C is an individual health care provider with primary practice located at 1 Childrens Way # 512-10 , Little Rock AR 72202-3500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Stine, Kimo C can be contacted via phone (501) 364-4374.

Contact Information

Primary practice address
1 Childrens Way # 512-10 Little Rock AR 72202-3500
Phone: (501) 364-4374
Fax: (501) 364-6829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N-8125 Arkansas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X N-8125 Arkansas

Profile Details

NPI number 1952491516
LBN Legal business name Stine, Kimo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2020 - about 5 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 1952491516 NPPES
Arkansas MEDICAID 120036001

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