Organization
MENA SPINE & REHAB, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERVIN T. PUTMAN DC (OWNER)
(479) 437-4444
Entity
Organization
Contact information
Practice address
701 MORROW ST S, MENA, AR 71953-4697
(479) 437-4444
(479) 437-3361
Mailing address
PO BOX 833, MENA, AR 71953-0833
(479) 437-4444
(479) 437-3361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1573
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159192718
—
AR
Enumeration date
04/18/2006
Last updated
08/28/2013
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