Kimberly Fountain
NPI #1154836161 in Russellville, Arkansas
Provider Information
- NPI Number
- 1154836161
- Entity Type
- Individual
- Name
- Kimberly Fountain
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Dec 13, 2017
- Last Updated
- Dec 13, 2017
Practice Location
- Address
- 1301 RUSSELL RD
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72802-4320
- Phone
- (479) 967-2322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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