Most Relevant Information
Provider Data
| NPI Number: | 1003374430 |
| Provider Name: | KIMBERLY EVETT MATTHEWS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/05/2019 |
| Last Updated: | 03/05/2019 |
Provider Practice Location
645 HIGHWAY 80 E
MONROE
LA
712038527
Practice Location Phone/Fax
| Phone: | 3183438744 |
| Fax: | 3183457123 |
Provider Mailing Location
645 HIGHWAY 80 E
MONROE
LA
712038527
Provider Mailing Phone/Fax
| Phone: | 3183438744 |
| Fax: | 3183457123 |