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Dr. Kenneth Kelley Tidwell JR., MD
Diagnostic Radiology Physician in Jonesboro, Arkansas
NPI 1942205802

Kenneth Kelley Tidwell JR. is a Diagnostic Radiology Physician based in Jonesboro, AR and is specialized in Diagnostic Radiology. Kenneth Kelley Tidwell JR. practices in Jonesboro, AR and has the professional credentials of MD. The NPI Number for Kenneth Kelley Tidwell JR. is 1942205802 and holds a License No. N7857 (Arkansas).

The current practice location address for Kenneth Kelley Tidwell JR. is 225 E Jackson Ave, Jonesboro, AR and can be reached out via phone at 870-932-0639 and via fax at 870-932-0526. You can also correspond with Kenneth Kelley Tidwell JR. through the mailing address at 800 S CHURCH ST STE 101, JONESBORO, AR - 72401-4154 (mailing address contact number: 870-932-0639).

Location: 225 E Jackson Ave, Jonesboro, AR, 72401-4154
person
Provider Profile Details
NPI Number
1942205802
Provider Name
Kenneth Kelley Tidwell JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
225 E Jackson Ave, Jonesboro, AR, 72401-4154
Phone Number
870-932-0639
Fax Number
870-932-0526
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117697001 05 AR
208891408 05 MO
institution
Provider Business Practice Location Address Details
Address
225 E Jackson Ave
City
State
Zip
72401-3119
Phone Number
870-932-0639
Fax Number
870-932-0526
person
Provider Business Mailing Address Details
Address
225 E Jackson Ave
City
State
Zip
72401-3119
Phone Number
870-932-0639
Fax Number
870-932-0526
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
N7857 (Arkansas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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