Individual
TIMOTHY MCNEIL KILLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 WOODLANE DR, SEARCY, AR 72143
(501) 268-3733
(501) 207-6139
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7302
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115507001
—
AR
Enumeration date
08/22/2006
Last updated
09/25/2023
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