Doctor Name: | KENDRA FULLER |
NPI Number: | 1841624921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHPP |
License Number: | |
Business Practice Address: | 4 E Village Mall Cherokee Village, AR - 72529 |
Business Phone Number: | 8702573336 |
Business Fax Number: | 8702573339 |
Mailing Address: | Po Box 176, CHEROKEE VILLAGE |
State: | AR |
Postal Code: | 725250176 |
Phone Number: | 8702573336 |
Fax Number: | 8702573339 |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |