DR. KENNETH TIDWELL JR., M.D.
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1942205802
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | N7857 (AR) |
Frequently Asked Questions
NPI 1942205802 is the National Provider Identifier for DR. KENNETH TIDWELL JR., M.D., a Radiology - Diagnostic Radiology provider located in Jonesboro, AR. This NPI was enumerated on June 16, 2005.
DR. KENNETH TIDWELL JR., M.D. practices at 225 E JACKSON AVE, Jonesboro, AR 72401.
Quick Facts
- NPI
- 1942205802
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Feb 15, 2011
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