# KFORNEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659081776
- **Authorized official:** KIMBERLY BROWN-FORNEY (SPECIALIST/OWNER)
- **Authorized official phone:** (870) 489-6560

## Contact information

- **Practice address:** 2602 W 42ND AVE, PINE BLUFF, AR 71603-6819
- **Practice address phone:** (901) 352-0365
- **Practice address fax:** (901) 234-5805
- **Mailing address:** 2602 W 42ND AVE, PINE BLUFF, AR 71603-6819
- **Mailing address phone:** (901) 352-0365
- **Mailing address fax:** (901) 234-5805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 11/29/2022