Individual
CLAYTON JEROME KNUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 BROADMOOR DR, BRINKLEY, AR 72021-2057
(870) 734-3202
(870) 734-3299
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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