Most Relevant Information
Provider Data
| NPI Number: | 1003389420 |
| Provider Name: | KYMBERLY HERREN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2019 |
| Last Updated: | 01/08/2019 |
Provider Practice Location
2003 SE WALTON BLVD
BENTONVILLE
AR
727123725
Practice Location Phone/Fax
| Phone: | 4797256000 |
| Fax: | 4797504843 |
Provider Mailing Location
2400 S 48TH ST
SPRINGDALE
AR
727626683
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |