| Vetcentric Mental Health Services | |
|
128 Southwinds Rd Ste 5 Farmington AR 72730-8652 | |
| (479) 267-6934 | |
| (866) 798-3345 |
| Full Name | Vetcentric Mental Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 128 Southwinds Rd Ste 5, Farmington, Arkansas |
| Authorized Official Name and Position | Kateri B. Killman (THERAPIST) |
| Authorized Official Contact | 4795999385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vetcentric Mental Health Services 17682 Ridgeway Ln Siloam Springs AR 72761-5260 Ph: (479) 599-9385 | Vetcentric Mental Health Services 128 Southwinds Rd Ste 5 Farmington AR 72730-8652 Ph: (479) 267-6934 |
| NPI Number | 1770088338 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Medicare PECOS PAC ID | 8426311861 |
|---|---|
| Medicare Enrollment ID | O20180417000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770088338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2463-C (Arkansas) | Primary |
| Provider Name | Kateri Killman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023317914 PECOS PAC ID: 5193988285 Enrollment ID: I20120530000459 |
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