Healthcare Provider Details
I. General information
NPI: 1457213621
Provider Name (Legal Business Name): MK HEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 S SHACKLEFORD RD
LITTLE ROCK AR
72211-3817
US
IV. Provider business mailing address
900 S SHACKLEFORD RD STE 300
LITTLE ROCK AR
72211-3848
US
V. Phone/Fax
- Phone: 501-467-1102
- Fax:
- Phone: 501-467-1102
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
O
LAFLORA
Title or Position: MANAGING MEMBER
Credential: CNP
Phone: 501-467-1102