Most Relevant Information
Provider Data
| NPI Number: | 1003262247 |
| Provider Name: | QUARANETTA PATRICK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2016 |
| Last Updated: | 05/06/2016 |
Provider Practice Location
3999 FORT CAMPBELL BLVD
HOPKINSVILLE
KY
422404929
Practice Location Phone/Fax
| Phone: | 2708862205 |
| Fax: | 2708860392 |
Provider Mailing Location
PO BOX 614
HOPKINSVILLE
KY
422410614
Provider Mailing Phone/Fax
| Phone: | 2708862205 |
| Fax: | 2708860392 |