Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Kelley Tidwell Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1942205802

Dr. Kenneth Kelley Tidwell Jr., MD is a Diagnostic Radiology Physician in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone: (870) 932-0639
Fax: (870) 932-0526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence N7857 (AR)

Record details

NPI number1942205802
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESFebruary 15, 2011

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