NPI 1154836161
Kimberly Fountain
Practice location
- Address
- 1301 Russell Rd, Russellville, AR 72802-4320
- Phone
- (479) 967-2322
- Mailing address
- PO Box 2109, Russellville, AR 72811-2109
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1154836161
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Dec 2017
- Record last updated
- 13 Dec 2017
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.