KC CENTER FOR HEALTH AND WELLNESS LLC NPI 1013672195

NPI Information

NPI: 1013672195
Provider Name: KC CENTER FOR HEALTH AND WELLNESS, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 36D2151783

Address:
3793 GREEN RD
BEACHWOOD, OH
ZIP 44122
Phone: (216) 232-5302
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KC CENTER FOR HEALTH AND WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Beachwood, OH. KC CENTER FOR HEALTH AND WELLNESS, LLC NPI is 1013672195. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3793 GREEN RD
BEACHWOOD, OH
ZIP 44122-705
Phone: (216) 232-5302
Fax: (216) 393-3690

The provider's authorized official is Ashley King .
The authorized official title is Ceo and has the following contact phone number (216) 232-5302.

The CLIA number assigned to this NPI record is 36D2151783 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 11/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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