Organization
KFORNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BROWN-FORNEY (SPECIALIST/OWNER)
(870) 489-6560
Entity
Organization
Contact information
Practice address
2602 W 42ND AVE, PINE BLUFF, AR 71603-6819
(901) 352-0365
(901) 234-5805
Mailing address
2602 W 42ND AVE, PINE BLUFF, AR 71603-6819
(901) 352-0365
(901) 234-5805
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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