Organization
KERRY CHILDERS, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY CHILDERS OD (OPTOMETRIC PHYSICIAN)
(870) 238-9407
Entity
Organization
Contact information
Practice address
618 JULIA AVE E, WYNNE, AR 72396-3504
(870) 238-9407
(870) 238-4320
Mailing address
PO BOX 562, WYNNE, AR 72396
(870) 238-9407
(870) 238-4320
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2038
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110249722
—
AR
Enumeration date
02/22/2007
Last updated
04/06/2009
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