Organization
DILL MD LTD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DOYNE DILL MD (OWNER)
(870) 541-8701
Entity
Organization
Contact information
Practice address
6810 S HAZEL ST, PINE BLUFF, AR 71603-7828
(501) 771-4693
Mailing address
6671 GAP POINT CIR, SHERWOOD, AR 72120-4052
(501) 771-4693
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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