Kenneth Ellis, CASE MANAGER

Case Manager/Care Coordinator · Crossett, AR

Individual Active NPI

NPI number 1992212633

Practice location

1802 Hwy 82 West
Crossett, AR 71635
Phone
(870) 364-7248
Fax
(870) 364-2249

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NPI record

NPI
1992212633
Entity type
Individual (Type 1)
Enumeration date
January 3, 2018
Last updated
January 3, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — AR

Mailing address

790 Roberts Dr
Monticello, AR 71655-5723
Phone
(870) 367-2461
Fax
(870) 460-6133

About Kenneth Ellis

Kenneth Ellis, CASE MANAGER is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1802 Hwy 82 West, Crossett, AR 71635. The NPI number 1992212633 was assigned on January 3, 2018 and the record was last updated on January 3, 2018.

Frequently asked questions

What is the NPI number of Kenneth Ellis, CASE MANAGER?

The NPI number is 1992212633.

What is the phone number of Kenneth Ellis?

The phone number listed for the practice location is (870) 364-7248.

Where is Kenneth Ellis located?

1802 Hwy 82 West, Crossett, AR 71635.

What is the taxonomy code for Kenneth Ellis?

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.

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