Kenneth Ellis, Case Manager
Case Manager/Care Coordinator in Crossett, AR. Individual provider (NPI-1).
NPI number1992212633
StatusActive
Last updated in NPPESJan 3, 2018
Details
- NPI
- 1992212633
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Ellis
- Credential
- Case Manager
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2018
- Last updated
- Jan 3, 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 |
Practice location
1802 Hwy 82 WestCrossett, AR 71635
Phone 870-364-7248 · Fax 870-364-2249
Mailing address
790 Roberts DrMonticello, AR 71655-5723
Phone 870-367-2461 · Fax 870-460-6133
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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 26 Case Manager/Care Coordinator providers in Crossett · All 221 providers in Crossett
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