# K E MANAGEMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** K E MANAGEMENT SERVICES
- **Other names:** River Valley Family Clinic of Fayetteville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013486638
- **Legal business name:** K E MANAGEMENT SERVICES
- **Authorized official:** FREDERICK JOSEPH FUOCO (OWNER)
- **Authorized official phone:** (504) 495-6772

## Contact information

- **Practice address:** 1420 E AUGUSTINE LN STE 7, FAYETTEVILLE, AR 72703-4995
- **Practice address phone:** (479) 200-9812
- **Practice address fax:** (866) 243-7203
- **Mailing address:** PO BOX 170, OZARK, AR 72949-0170
- **Mailing address phone:** (866) 243-7203
- **Mailing address fax:** (866) 243-7203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018