Kevin Gassaway

NPI #1982926754 in Barling, Arkansas

Provider Information

NPI Number: 1982926754
Entity Type: Individual
Name: Kevin Gassaway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 1311 FORT STREET
Address 2: SUITE J
City: Barling
State: Arkansas
ZIP Code: 72923
Phone: (479) 452-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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