Active NPI
K E Management Services
- Family Medicine Physician
- Van Buren, AR
National Provider Identifier
1013425859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- K E MANAGEMENT SERVICES
- Practice address
- 2719 Bryan Rd
Van Buren, AR 72956-5031 - Phone
- (479) 262-6069
- Fax
- (479) 262-6139
- NPI assigned
- Jan 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick Joseph Fuoco
- Title
- Member
- Phone
- (504) 495-6772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2719 Bryan Rd
Van Buren, AR 72956-5031
Mailing address
2719 Bryan Rd
Van Buren, AR 72956-5031
Phone (479) 262-6069
Other names 1
- River Valley Family Clinic
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1013486638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515974400000",
"number": "1013425859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 BRYAN RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729565031",
"telephone_number": "479-262-6069",
"fax_number": "479-262-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 BRYAN RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729565031",
"telephone_number": "479-262-6069",
"fax_number": "479-262-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K E MANAGEMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A",
"authorized_official_last_name": "FUOCO",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "504-495-6772",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.