DR. Kenneth C Childers, PA

NPI #1740266907 in Siloam Springs, Arkansas

Provider Information

NPI Number
1740266907
Entity Type
Individual
Name
DR. Kenneth C Childers, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
PA
Enumeration Date
Dec 20, 2005
Last Updated
Jun 2, 2008

Practice Location

Address
611 S MOUNT OLIVE ST
ZIP Code
72761-3603
Phone
(479) 524-4231

Specialties & Taxonomy Codes

Specialty
Optometrist

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