K E Management Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

K E MANAGEMENT SERVICES

Doing business as

River Valley Family Clinic of Fayetteville

Practice address

1420 E Augustine LN Ste 7
Fayetteville, AR 72703-4995

Phone

(479) 200-9812

Fax

(866) 243-7203

NPI assigned

Nov 14, 2018

Organization subpart

Yes

Parent organization

K E MANAGEMENT SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick Joseph Fuoco

Title

Owner

Phone

(504) 495-6772

Specialties & licenses 1

Addresses

Other names 1

• River Valley Family Clinic of Fayetteville Doing business as

Part of

K E Management Services

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• K E Management Services

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1013425859
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1013486638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729490170",
            "telephone_number": "866-243-7203",
            "fax_number": "866-243-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E AUGUSTINE LN STE 7",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034995",
            "telephone_number": "479-200-9812",
            "fax_number": "866-243-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K E MANAGEMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K E MANAGEMENT SERVICES",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "FUOCO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-495-6772"
    },
    "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 of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.