KID GLOVES SURGICAL SPECIALISTS, PLLC
NPI 1205687217
Surgery - Pediatric Surgery in Springdale, AR

Active since March 28, 2024
3623 JOHNSON MILL BLVD STE 101, SPRINGDALE, AR 72762(501) 349-3182 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kid Gloves Surgical Specialists, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KID GLOVES SURGICAL SPECIALISTS, PLLC (NPI 1205687217) is a healthcare organization registered as a pediatric surgery in Springdale, Arkansas and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Springdale and lists Marcene R Mcvay Gillam, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1205687217
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameKID GLOVES SURGICAL SPECIALISTS, PLLC
Location Address3623 JOHNSON MILL BLVD STE 101Springdale, AR 72762-6412
Mailing AddressPo Box 6908Springdale, AR 72766-6908
Organization SubpartNo
Authorized OfficialMarcene R Mcvay GillamOwner/manager · (501) 349-3182
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1205687217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3623 JOHNSON MILL BLVD STE 101, Springdale, AR 72762

Secondary Practice Location 1

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kid Gloves Surgical Specialists, PLLC's NPI number?

The NPI number for Kid Gloves Surgical Specialists, PLLC is 1205687217. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Kid Gloves Surgical Specialists, PLLC located?

Kid Gloves Surgical Specialists, PLLC is located at 3623 Johnson Mill Blvd Ste 101, Springdale, AR 72762. The listed phone number is (501) 349-3182.

What is Kid Gloves Surgical Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Kid Gloves Surgical Specialists, PLLC was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.