KENYGHATTA DAVIS

BLYTHEVILLE, AR
NPI1164639480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- KENYGHATTA DAVIS mhpp
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2600
Mailing Address
-- KENYGHATTA DAVIS mhpp
812 CLARK ST
BLYTHEVILLE, AR 72315-4508
Phone number: 870-763-2841