NPI 1013220334
Keithen Alex Mathis, MHPP
Practice location
- Address
- 4700 W Commercial Dr Suite B-2, North Little Rock, AR 72116-7068
- Phone
- (501) 753-8400
- Fax
- (501) 753-8401
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013220334
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jul 2010
- Record last updated
- 15 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.