Dr Kristin Leigh Gannoe, MD | |
28 Rahling Cir, Little Rock, AR 72223-9187 | |
(501) 448-0060 | |
(501) 448-0066 |
Full Name | Dr Kristin Leigh Gannoe |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 28 Rahling Cir, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811904915 | NPI | - | NPPES |
150663001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E3694 (Arkansas) | Primary |
Entity Name | State Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891808630 PECOS PAC ID: 6507863958 Enrollment ID: O20080909000722 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristin Leigh Gannoe, MD 28 Rahling Cir, Little Rock, AR 72223-9187 Ph: (501) 448-0060 | Dr Kristin Leigh Gannoe, MD 28 Rahling Cir, Little Rock, AR 72223-9187 Ph: (501) 448-0060 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 S Schiller St, Little Rock, AR 72201 Phone: 501-660-6644 |