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NPI Code Detail

MEDICARE: MRS. KRISTEN MIRANDA SCEGO INTERN

MEDICARE: MRS. KRISTEN MIRANDA SCEGO INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588592539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN MIRANDA SCEGO INTERN
Provider Business Mailing Address
First Line : PO BOX 1131
Second Line :
City : HARRISON
State : AR
Zip : 72602-1131
Country : US
Telephone Number : 870-204-6016
Fax Number : 870-782-2914
Provider Business Practice Location Address
First Line : 716 S PINE ST
Second Line :
City : HARRISON
State : AR
Zip : 72601-5830
Country : US
Telephone Number : 870-204-6016
Fax Number : 870-782-2914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ MRS. KRISTEN MIRANDA SCEGO INTERN” Practice Location

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