NPI 1073363461
Kellie Jeno
Practice location
- Address
- 2705b Oak Ln, Van Buren, AR 72956-4816
- Phone
- (479) 471-5950
- Fax
- (479) 471-5997
- Mailing address
- PO Box 11818, Fort Smith, AR 72917-1818
Registered specialties (2)
Peer Specialist
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1073363461
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Mar 2024
- Record last updated
- 26 Mar 2024
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.