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Organization
K E MANAGEMENT SERVICES
Active
Organization
K E MANAGEMENT SERVICES
Active
Parent organization
K E MANAGEMENT SERVICES
Other names
River Valley Family Clinic of Fayetteville
Organization subpart
Yes
Provider details
NPI number
Legal business name
K E MANAGEMENT SERVICES
Authorized official
FREDERICK JOSEPH FUOCO (OWNER)
(504) 495-6772
Entity
Organization
Contact information
Practice address
1420 E AUGUSTINE LN STE 7, FAYETTEVILLE, AR 72703-4995
(479) 200-9812
(866) 243-7203
Mailing address
PO BOX 170, OZARK, AR 72949-0170
(866) 243-7203
(866) 243-7203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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