Individual
KENNETH TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 453-5000
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E19814
AR
208600000X
Surgery Physician
Primary
2022025356
MO
Other
Enumeration date
07/01/2022
Last updated
01/14/2026
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