All Medicaid billing entities listing TIDWELL, MYKEL (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Kentucky | 1 | $408.14 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | S.E.W. ENTERPRISES, INC. | MAYFIELD, KY | Long Term Care Pharmacy | $408.14 |