Mr. Kevin Eugene Puckett Jr.
Mr. Kevin Eugene Puckett Jr. is a Case Manager/Care Coordinator in Riverside, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5425 Sierra Vista AveRiverside, CA 92505-3113
Phone: (951) 299-7645
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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 number | 1619614807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 18, 2022 |
| Last updated in NPPES | May 20, 2022 |
| Certification date | May 20, 2022 |
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