Kimberly Clayborn, MHPP

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

NPI 1871887836 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1871887836
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
809 W Main St Ste C-D
Trumann, AR 72472-2611
Phone
(870) 483-0068
Fax
(870) 483-0066
NPI assigned
Jun 7, 2011
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

809 W Main St Ste C-D
Trumann, AR 72472-2611

Mailing address

809 W Main St Ste C-D
Trumann, AR 72472-2611

Other providers in Trumann, AR

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

Sources for this page

Verify at the official NPI Registry.