Kenyghatta Davis in Blytheville - Case Manager/care Coordinator

Kenyghatta Davis - NPI 1164639480

Kenyghatta Davis is a Case Manager/care Coordinator in Blytheville, Arkansas. Kenyghatta Davis practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Kenyghatta Davis is 1164639480. The last update date is 2007-07-08.

Kenyghatta Davis's current location address is 812 Clark St, Blytheville, Arkansas. You can contact this provider via phone number 8707632841. The mailing address for Kenyghatta Davis is 812 Clark St, Blytheville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenyghatta Davis
Address 812 Clark St, Blytheville, Arkansas
Phone Number 8707632841
Fax Number
Sole Proprietor Y
Credentials MHPP

NPI Number Detail

NPI Number 1164639480
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 812 Clark St
City Blytheville
State Arkansas (AR)
Post Code 723154508
Phone Number 8707632841
Fax Number

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

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FAQs about Kenyghatta Davis

What is the unique 10-digit identifier code assigned to Kenyghatta Davis by the Centers for Medicare & Medicaid Services?

The Kenyghatta Davis has been issued the NPI (National Provider Identifier) 1164639480 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenyghatta Davis's facilities are geographically located?

The facilities of Kenyghatta Davis are physically situated at the following location: 812 Clark St, Blytheville, AR, 723154508.

What is Kenyghatta Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenyghatta Davis is Case Manager/care Coordinator, and the corresponding taxonomy classification code for this specialized field is 171M00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164639480 to Kenyghatta Davis?

The Kenyghatta Davis received its 1164639480 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.

As of what date were the Kenyghatta Davis's details last updated?

The information pertaining to the Kenyghatta Davis, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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