Kevin Rush

NPI 1104963057 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1104963057
Gender Male
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1355 E MAIN ST
BATESVILLE AR, 72501-3159, US
Phone (870) 793-8919
Fax (870) 793-8968
Business Location
BATESVILLE AR, 72501-9768, US
Phone (870) 793-8919
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Kevin Rush NPI is 1104963057, taxonomy code is 171M00000X Kevin Rush physically located at 1355 E Main St, Batesville AR, 72501-3159. NPI Number Kevin Rush has the Individual type.

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1104963057 NPI number is provided on an as is basis without warranty of any kind. 1104963057 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Rush are for informational purposes only.