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

Individual provider Occupational Therapy Assistant · NPI 1205232741

Jeaneen Kidwell is an Occupational Therapy Assistant in Rudy, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2014
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Practice location Address checks out

3918 Pecan Grove Rd
Rudy, AR 72952-9026
Phone: (479) 632-6337
Fax: (479) 632-5916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA896 (AR)

Record details

NPI number1205232741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 11, 2014
Last updated in NPPESNovember 11, 2014

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