KENNETH ELLIS

CROSSETT, AR
NPI1992212633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-01-03
Last Update Date2018-01-03
Business Address
KENNETH ELLIS Case Manager
1802 HWY 82 WEST
CROSSETT, AR 71635
Phone number: 870-364-7248
Mailing Address
KENNETH ELLIS Case Manager
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 870-367-2461
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