Provider Demographics
NPI:1447318613
Name:ACTS OF H & K , CASE MGT AGENCY
Entity type:Organization
Organization Name:ACTS OF H & K , CASE MGT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:501-327-6998
Mailing Address - Street 1:PO BOX 1296
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-1296
Mailing Address - Country:US
Mailing Address - Phone:501-327-6998
Mailing Address - Fax:501-327-6929
Practice Address - Street 1:24 N CORAN DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-9498
Practice Address - Country:US
Practice Address - Phone:501-327-6998
Practice Address - Fax:501-327-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251B00000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management