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Kenneth L Holder, MD
Family Medicine Physician in Jonesboro, Arkansas
NPI 1477659464

Kenneth L Holder is a Family Medicine Physician based in Jonesboro, AR. Kenneth L Holder practices in Jonesboro, AR and has the professional credentials of MD. The NPI Number for Kenneth L Holder is 1477659464 and holds a License No. E-7966 (Arkansas).

The current practice location address for Kenneth L Holder is 264 Southwest Dr, Jonesboro, AR and can be reached out via phone at 870-336-2976 and via fax at 870-931-0665.

Location: 264 Southwest Dr, Jonesboro, AR, 72401-5829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477659464
Provider Name
Kenneth L Holder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
264 Southwest Dr, Jonesboro, AR, 72401-5829
Phone Number
870-336-2976
Fax Number
870-931-0665
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64320625 05 KY
32062 01 KY LICENSE
E-7966 01 AR LICENSE
000000044326 01 BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
264 Southwest Dr
City
Jonesboro
State
Arkansas
Zip
72401-5829
Phone Number
870-336-2976
Fax Number
870-931-0665
person
Provider Business Mailing Address Details
Address
264 Southwest Dr
City
Jonesboro
State
Arkansas
Zip
72401-5829
Phone Number
870-336-2976
Fax Number
870-931-0665
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E-7966 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
E-7966 (Arkansas)
Definition
Definition to come...
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