Organization · Type 2 NPI

K E Management Services

Family Medicine Physician · Fayetteville, AR

NPI number 1013486638 Active

Practice location

1420 E Augustine Ln Ste 7
Fayetteville, AR 72703-4995

Call (479) 200-9812 Map

Fax (866) 243-7203

Mailing address

PO Box 170
Ozark, AR 72949-0170

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1013486638
Entity type: Organization (Type 2)
Issued: Nov 14, 2018
Last updated: Nov 14, 2018
Status: Active
Subpart: Yes of K E Management Services

Other names

River Valley Family Clinic of Fayetteville · doing business as

Authorized official

Frederick Joseph Fuoco
Owner
(504) 495-6772

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013486638

K E Management Services's National Provider Identifier is 1013486638, issued on Nov 14, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fayetteville, AR. The record was last updated on Nov 14, 2018.