Cornel Carryl
Individual provider Active NPI Case Manager/Care Coordinator · Newport, AR
NPI 1154091759 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1154091759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 210 Third St
Newport, AR 72112-3302 - Phone
- (501) 315-3344
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
210 Third St
Newport, AR 72112-3302
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
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- Joanna Michelle Cantrell Kelley
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- Kara Lynette Carpenter Treadway
- Vickie L Carter
- Central Healthcare LLC
- James Chaplain
- Karen Chaplain
- Mufiz A Chauhan
All providers in Newport, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.