Renski Davis-Buckley, MHPP

Individual provider Active NPI Case Manager/Care Coordinator · Arkadelphia, AR

NPI 1184843773 · NPPES record last updated Jul 9, 2015

Key facts

NPI
1184843773
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
524 N. Clark
Arkadelphia, AR 71923
Phone
(678) 883-8131
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

524 N. Clark
Arkadelphia, AR 71923

Mailing address

524 N Clark St
Arkadelphia, AR 71923-4515
Phone (678) 883-8131

Other providers in Arkadelphia, AR

All providers in Arkadelphia, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.