KENNETH KELLEY TIDWELL

JONESBORO, AR
NPI1942205802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AR  N7857)
Enumeration Date2005-06-16
Last Update Date2011-02-15
Business Address
Dr. KENNETH KELLEY TIDWELL M.D.
225 E JACKSON AVE
JONESBORO, AR 72401-3119
Phone number: 870-932-0639
Mailing Address
Dr. KENNETH KELLEY TIDWELL M.D.
800 S CHURCH ST STE 101
JONESBORO, AR 72401-4154
Phone number: 870-932-0639
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