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Contact Information

JAMES E TIDWELL III, MD
2211 MAYFAIR DR STE 305
OWENSBORO, KY42301-4572
 Phone: 270-688-3700
 Fax: 270-688-3709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES E TIDWELL III · (Male)

NPI # 1942427380
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2007
Last updated 07/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 47992
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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