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KIESHAY WORTHY CMP

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1760685267

Individual Registrant:
 KIESHAY  WORTHY CMP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
700 E HAYWOOD ST  ENGLAND, AR 72046-1400 US
Tel: 501-842-3663  Fax: --

Contact information for business:
PO BOX 1589  BENTON, AR 72018-1589 US
Tel: 501-315-3344  Fax: --

Registration Information:
NPI: 1760685267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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