Kala Allene Clark, MHPP
Case Manager/Care Coordinator in Jacksonville, AR. Individual provider (NPI-1).
NPI number1750833752
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1750833752
- Entity type
- Individual (NPI-1)
- Name
- Kala Allene Clark
- Credential
- MHPP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2016
- Last updated
- May 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AR | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2126 N 1st St Ste FJacksonville, AR 72076-2868
Phone 501-982-5000 · Fax 501-982-5007
Mailing address
1815 Pleasant Grove RdJonesboro, AR 72401-7870
Phone 870-933-6886 · Fax 870-933-9395
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 72 Case Manager/Care Coordinator providers in Jacksonville · All 628 providers in Jacksonville
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