MEDICARE: KENNETH TIFFANY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	E19814	AR

General Provider Information

NPI Number	:	1548993199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH TIFFANY DO

Provider Business Mailing Address
First Line	:	2900 HAWKINS DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 BRADEN ST
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-3721
Country	:	US
Telephone Number	:	501-453-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	01/14/2026

Similar Medicare Providers

1174509673 — PULASKI EMERGENCY GROUP LLC
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1205899481 — DR. TIMOTHY A DILLER M.D.
Practice Location Address:

1400 BRADEN ST , EMERGENCY DEPT
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1023072105 — DR. GEORGE THOMPSON GRAY III D.O.
Practice Location Address:

1400 BRADEN ST , EMERGENCY DEPT
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1902862956 — SUNITA SUDHAKAR BONDE DO
Practice Location Address:

1400 BRADEN ST , ER DEPT
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1386697480 — DR. BRIAN E MEYER MD
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-221-3519
Practice Fax:

1417995457 — MUHAMMAD YOUNUS SHAJAAT MD
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 800-893-9698
Practice Fax:

Directions to “ KENNETH TIFFANY DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.