| NPI | 1336184431 |
|---|---|
| Doing Business As | KENNETH HEILES CLINIC AHEC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WYLIE Office Manager 870-541-6008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-06-12 |