Individual
EMMITT KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 HENDERSON ST, ARKADELPHIA, AR 71999-0001
(870) 277-8528
Mailing address
1100 HENDERSON ST, ARKADELPHIA, AR 71999-0001
(870) 277-8528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
928301511
AR
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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