Keeona Cobb, QBHP

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

NPI 1639644602 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1639644602
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
203B Westport Dr
Cabot, AR 72023-3657
Phone
(501) 843-9233
Fax
(501) 843-9656
NPI assigned
Oct 5, 2018
Sex
Female
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

203B Westport Dr
Cabot, AR 72023-3657

Mailing address

203B Westport Dr
Cabot, AR 72023-3657
Phone (501) 843-9233

Other providers in Cabot, AR

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

Sources for this page

Verify at the official NPI Registry.