Mckiddy, Jenna

Mckiddy, Jenna is an sole proprietor health care provider with primary practice located at 1601 Mlk Blvd , Malvern AR 72104-2016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mckiddy, Jenna can be contacted via phone (501) 467-8275.

Contact Information

Primary practice address
1601 Mlk Blvd Malvern AR 72104-2016
Phone: (501) 467-8275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1497154389
LBN Legal business name Mckiddy, Jenna
Credentials PT,DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2014
Last updated Aug 18th, 2014 - about 10 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.

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