Search › Arkansas › 152W00000X
Kenneth Childers, PA
NPI 1740266907 · on the registry since 2005 · sole proprietor
Practice
- Address
- 611 S Mount Olive St
Siloam Springs, AR 72761 - Phone
- (479) 524-4231
- Fax
- (479) 524-8850
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas