Individual
DR. KENNETH G HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
130 HOUSTON AVE, SUITE C, PERRYVILLE, AR 72126-9451
(501) 889-1900
Mailing address
PO BOX 11226, CONWAY, AR 72034-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3185
AR
Other
Enumeration date
09/21/2009
Last updated
10/14/2013
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