MR. Keithen Alex Mathis, MHPP
NPI #1013220334 in North Little Rock, Arkansas
Provider Information
- NPI Number
- 1013220334
- Entity Type
- Individual
- Name
- MR. Keithen Alex Mathis, MHPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MHPP
- Enumeration Date
- Jul 15, 2010
- Last Updated
- Jul 15, 2010
Practice Location
- Address
- 4700 W COMMERCIAL DR
- Address 2
- SUITE B-2
- State
- Arkansas
- ZIP Code
- 72116-7068
- Phone
- (501) 753-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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