Childers, Kenneth C
Childers, Kenneth C is an sole proprietor health care provider with primary practice located at 611 S Mount Olive St , Siloam Springs AR 72761-3603. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Childers, Kenneth C can be contacted via phone (479) 524-4231.Contact Information
Primary practice address
611 S Mount Olive St
Siloam Springs AR 72761-3603
Phone: (479) 524-4231
Fax: (479) 524-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2039 | Arkansas |
Profile Details
| NPI number | 1740266907 |
|---|---|
| LBN Legal business name | Childers, Kenneth C |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740266907 | NPPES |
| Arkansas | MEDICAID | 139158722 |
Popular Providers
-
Roberts, Bob Gene
960 A S Mount Olive St , Siloam Springs AR 72761-0188 -
Dudley, Jim
112 County 301 , Eureka Springs AR 72632-9192 -
Eagle, Angela
2901 Highway 412 E , Siloam Springs AR 72761-8673 -
Netzel, Jordan Michael
960 S Mount Olive St Ste A , Siloam Springs AR 72761-4204 -
Seller, Scott Evan
103 Ridgeway St , Hot Springs AR 71901-7102 -
Newton, Robert
4019 Central Ave , Hot Springs AR 71913-7208 -
Smith, William Vance
1601 Albert Pike Rd , Hot Springs AR 71913-4020 -
Philpott, William 'Greg'
960 A S Mount Olive St , Siloam Springs AR 72761-0188