Organization
TIMOTHY M KILLOUGH MD PA
Active
Other names
Westside Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M KILLOUGH MD (OWNER PHYSICIAN)
(501) 268-3733
Entity
Organization
Contact information
Practice address
103 WOODLANE DR, SEARCY, AR 72143
(501) 268-3733
(501) 207-6139
Mailing address
103 WOODLANE DR, SEARCY, AR 72143
(501) 268-3733
(501) 207-6139
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
08/16/2006
Last updated
09/07/2011
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