Caleb McKissick

Case Manager/Care Coordinator · Malvern, AR

Individual Active NPI

NPI number 1538787890

Practice location

1628 E Page Ave
Malvern, AR 72104-4524
Phone
(501) 315-3344

Open in Google Maps

NPI record

NPI
1538787890
Entity type
Individual (Type 1)
Enumeration date
July 13, 2020
Last updated
July 13, 2020
Certified
July 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone
(501) 315-3344

About Caleb McKissick

Caleb McKissick is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1628 E Page Ave, Malvern, AR 72104-4524. The NPI number 1538787890 was assigned on July 13, 2020 and the record was last updated on July 13, 2020.

Frequently asked questions

What is the NPI number of Caleb McKissick?

The NPI number is 1538787890.

What is the phone number of Caleb McKissick?

The phone number listed for the practice location is (501) 315-3344.

Where is Caleb McKissick located?

1628 E Page Ave, Malvern, AR 72104-4524.

What is the taxonomy code for Caleb McKissick?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Case Manager/Care Coordinator providers in Malvern

All Case Manager/Care Coordinator providers in Malvern, AR →