KENNETH STANDRIDGE

RUSSELLVILLE, AR
NPI1063997922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-09-26
Last Update Date2018-09-26
Business Address
KENNETH STANDRIDGE
210 N SHAMROCK BLVD
RUSSELLVILLE, AR 72802-9658
Phone number: 501-315-3344
Mailing Address
KENNETH STANDRIDGE
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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