DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. KEVIN TODD MOGISH MHPP

MEDICARE: MR. KEVIN TODD MOGISH MHPP
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 : 1710196480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN TODD MOGISH MHPP
Provider Business Mailing Address
First Line : 2706 BRASCO RD
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-8535
Country : US
Telephone Number : 501-425-3060
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W DAISY L GATSON BATES DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-5402
Country : US
Telephone Number : 501-371-9058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1790848372 — MRS. CATHRYN CROW LCSW
Practice Location Address:
1020 W DAISY BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-371-9058
Practice Fax:
1245428101 — TAIWAN DICKERSON MHPP
Practice Location Address:
1020 W DAISY BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-371-9058
Practice Fax: 501-371-9082
1629256425 — SANDRA K WOMACK
Practice Location Address:
1020 W DAISY L GATSON BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-666-4949
Practice Fax: 501-660-6840
1376701011 — LAUREN RUTH NICOLAS
Practice Location Address:
1020 W DAISY BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-371-9058
Practice Fax:
1619118676 — MEAGAN SHASIDY MCKENZIE MHPP
Practice Location Address:
1020 W DAISY BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-371-9058
Practice Fax: 501-371-9082
1801178074 — LEAH BYERS LMSW
Practice Location Address:
1020 W DAISY BATES DR
LITTLE ROCK, AR
72202-5402
Practice Phone: 501-371-9058
Practice Fax:

Directions to “ MR. KEVIN TODD MOGISH MHPP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.