KEVIN DOUGLAS

FORT SMITH, AR
NPI1336992569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
KEVIN DOUGLAS
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
KEVIN DOUGLAS
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650