Individual
DR. KERVIN T PUTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
513 MENA ST, MENA, AR 71953-3337
(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
Enumeration date
12/05/2005
Last updated
07/08/2007
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