KENNETH LUCKETT

LITTLE ROCK, AR
NPI1427766120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
KENNETH LUCKETT
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
Mailing Address
KENNETH LUCKETT
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686