Kimo C Stine
MD | Pediatric Hematology-Oncology | Male
Kimo C Stine, MD is a Little Rock, Arkansas based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Kimo C Stine is
1 Childrens Way # 512-10, Little Rock, Arkansas - 72202-3500. He can be contacted on phone at
501-364-4374 and fax number 501-364-6829.
Kimo C Stine is a sole proprietor of his business.
NPI number (Unique professional ID) for Kimo C Stine is
1952491516 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 09 Jul, 2020.
Kimo C Stine license number is
N-8125 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Arkansas.
Kimo C Stine is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Kimo C Stine basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
|---|
| Provider Name : | Kimo C Stine |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Kimo C Stine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Way # 512-10
Little Rock, AR, 72202-3500
United States |
|---|
| Phone Number : | 501-364-4374 |
|---|
| Fax Number : | 501-364-6829 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952491516 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 13 Oct, 2006 |
|---|
| Last Updated On : | 09 Jul, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimo C Stine are as mentioned. Primary taxonomy code for Kimo C Stine, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | N-8125 | AR |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | N-8125 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Kimo C Stine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 120036001 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Way # 653
Little Rock, AR, 72202-3500
United States |
|---|
| Phone Number : | 501-364-1100 |
|---|
| Fax Number : | 501-364-4082 |
|---|
Business Location:
Patients can refer following map for directions to
Kimo C Stine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.