| Dr Kenneth Kelley Tidwell Jr, MD | |
|
225 E Jackson Ave, Jonesboro, AR 72401-3119 | |
| (870) 932-0639 | |
| (870) 932-0526 |
| Full Name | Dr Kenneth Kelley Tidwell Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 225 E Jackson Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942205802 | NPI | - | NPPES |
| 117697001 | Medicaid | AR | |
| 208891408 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | N7857 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Kelley Tidwell Jr, MD 800 S Church St Ste 101, Jonesboro, AR 72401-4154 Ph: (870) 932-0639 | Dr Kenneth Kelley Tidwell Jr, MD 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 932-0639 |
Dr. Richard E Person, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-933-0863 | |
Dana Jo Coker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Dr. John William Allgood Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4510 Fax: 870-972-4444 | |
Dr. Holly Jo Gonzales, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 101, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Adam Patrick Cabell, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 S Church St, Suite 101, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Dr. Seth Andrew Little, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Cade Martin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 |