Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadejah Brockman

Individual provider Case Manager/Care Coordinator · NPI 1659261881

Khadejah Brockman is a Case Manager/Care Coordinator in Russellville, Arkansas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

210 N Shamrock Blvd
Russellville, AR 72802-9658
Phone: (501) 315-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1659261881
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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