Most Relevant Information
Provider Data
| NPI Number: | 1003208695 |
| Provider Name: | ADRIENNE MARIE KODER |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | E-14374 |
Most Important Dates
| Enumeration Date: | 02/19/2015 |
| Last Updated: | 09/08/2021 |
Provider Practice Location
1 CHILDRENS WAY # 653
LITTLE ROCK
AR
722023500
Practice Location Phone/Fax
| Phone: | 5013641100 |
| Fax: |
Provider Mailing Location
PO BOX 251418
LITTLE ROCK
AR
722251418
Provider Mailing Phone/Fax
| Phone: | 5013641100 |
| Fax: |
Suggested EMR
Orthopedic EMR