Jeffrey Kirk Grynwald JR.
Surgery of the Hand
800 Fair Park Blvd
Little Rock
, Arkansas 72204
Jeffrey Kirk Grynwald JR.
Surgery of the Hand
800 Fair Park Blvd
Little Rock
, Arkansas 72204
(501) 604-6941
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Jeffrey Kirk Grynwald JR.
- 800 Fair Park Blvd
- Little Rock, AR
- Zip : 72204-1720
- Fax : (501) 604-6941
- Phone : (501) 604-6900
Second Address
- Jeffrey Kirk Grynwald JR.
- 800 Fair Park Blvd
- Little Rock, AR
- Zip : 72204
- Fax : (501) 604-6941
- Phone : (501) 604-6900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 41254 | KY |
| Y | 2086S0105X | Surgery of the Hand | E-8270 | AR |
National Provider Identifier
| NPI | 1255446191 |
|---|---|
| Provider Name | Jeffrey Kirk Grynwald JR. |
| First Address | Little Rock, AR 72204-1720 |
| Second Address | Little Rock, AR 72204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 11/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201742001 | (05) | AR |
| E-8270 | ARKANSAS MEDICAL LICENSE (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.