Kimberly Fountain
Day Training/Habilitation Specialist in Russellville, AR(View on Map)
Full Name
Kimberly Fountain
NPI Number
1154836161
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/13/2017
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2109
1301 RUSSELL RD
City
Russellville
Russellville
State
AR
AR
Postal Code
72811-2109
72802-4320
Country
US
US
Telephone Number
N/A
(479) 967-2322
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/13/2017