Kenneth Childers P a

NPI #1407069487 in Siloam Springs, Arkansas

Provider Information

NPI Number: 1407069487
Entity Type: Organization
Organization Name: Kenneth Childers P a
Primary Specialty: Optometrist
Enumeration Date: May 7, 2007
Last Updated: Oct 8, 2008

Practice Location

Address: 611 S MT OLIVE
City: Siloam Springs
State: Arkansas
ZIP Code: 72761
Phone: (479) 524-4231

Authorized Official

Name: KENNETH CHILDERS, P A
Title: OPTOMETRIST
Phone: (479) 524-4231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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