IndividualActive
Jay Kincannon, MD
NPI 1184711236 · Pediatric Dermatology Physician · Little Rock, AR
Provider details
- NPI number
- 1184711236
- Entity type
- Individual
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C-6844 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 526-5148
Approximate (ZIP-level) locationGet directions
Mailing address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2011-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.