Dr Kenneth Kelley Tidwell Jr, MD - Radiology in Jonesboro, AR

Dr Kenneth Kelley Tidwell Jr, MD is a Radiology - Diagnostic Radiology physician based in Jonesboro, Arkansas. Dr Kenneth Kelley Tidwell Jr is licensed to practice in Arkansas (license number N7857) and his current practice location is 225 E Jackson Ave, Jonesboro, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 932-0639.

NPI number for Dr Kenneth Kelley Tidwell Jr is 1942205802 and his current mailing address is 800 S Church St Ste 101, Jonesboro, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942205802.

Contact Information

Dr Kenneth Kelley Tidwell Jr, MD
225 E Jackson Ave,
Jonesboro, AR 72401-3119
(870) 932-0639
(870) 932-0526



Physician's Profile

Full NameDr Kenneth Kelley Tidwell Jr
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location225 E Jackson Ave, Jonesboro, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942205802
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 02/15/2011

Medical Identifiers

Medical identifiers for Dr Kenneth Kelley Tidwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942205802NPI-NPPES
117697001MedicaidAR
208891408MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology N7857 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Kelley Tidwell Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 9 days ago


Radiology Doctors in Jonesboro, AR

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

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