Tomothy Knowlton
Individual provider Active NPI Case Manager/Care Coordinator · Corning, AR
NPI 1609540939 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1609540939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 602 David St
Corning, AR 72422-7268 - Phone
- (870) 857-3655
- NPI assigned
- Aug 2, 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
602 David St
Corning, AR 72422-7268
Mailing address
602 David St
Corning, AR 72422-7268
Other providers in Corning, AR
- Cara Johnson
- Jared Michael Johnson
- Michele L Johnson
- Laney Dayle Jordan
- Shieleena King
- Chelsie Ann Kovach
- Andrew Ryan Lavespere
- Melissa Michelle Lee
- Kandra E Leonard
- Carrie Elizabeth Luter
All providers in Corning, 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 Aug 2, 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.