Healthcare Provider Details

I. General information

NPI: 1891760583
Provider Name (Legal Business Name): RONALD GRIFFIN KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 SPRINGHILL DR
NORTH LITTLE ROCK AR
72117-2958
US

IV. Provider business mailing address

PO BOX 55050
LITTLE ROCK AR
72215-5050
US

V. Phone/Fax

Practice location:
  • Phone: 501-906-3000
  • Fax: 501-907-8367
Mailing address:
  • Phone: 501-906-3000
  • Fax: 501-907-8367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberN8275
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: