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Kimberly Fountain
Day Training/Habilitation Specialist in Russellville, Arkansas
NPI 1154836161

Kimberly Fountain is a Day Training/Habilitation Specialist based in Russellville, AR. Kimberly Fountain practices in Russellville, AR. The NPI Number for Kimberly Fountain is 1154836161 and holds a License No. (Arkansas).

The current practice location address for Kimberly Fountain is 1301 Russell Rd, Russellville, AR and can be reached out via phone at 479-967-2322. You can also correspond with Kimberly Fountain through the mailing address at PO BOX 2109, RUSSELLVILLE, AR - 72811-2109 (mailing address contact number: ).

Location: 1301 Russell Rd, Russellville, AR, 72811-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154836161
Provider Name
Kimberly Fountain
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 Russell Rd, Russellville, AR, 72811-2109
Phone Number
479-967-2322
Fax Number
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Russell Rd
City
Russellville
State
Arkansas
Zip
72802-4320
Phone Number
479-967-2322
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Russell Rd
City
Russellville
State
Arkansas
Zip
72802-4320
Phone Number
479-967-2322
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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