Jeaneen Kidwell

NPI #1205232741 in Rudy, Arkansas

Provider Information

NPI Number: 1205232741
Entity Type: Individual
Name: Jeaneen Kidwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Enumeration Date: Nov 11, 2014
Last Updated: Nov 11, 2014

Practice Location

Address: 3918 PECAN GROVE RD
City: Rudy
State: Arkansas
ZIP Code: 72952-9026
Phone: (479) 632-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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