KPW HEALTH LLC NPI 1427559020

NPI Information

NPI: 1427559020
Provider Name: KPW HEALTH LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2213242

Address:
603 7TH ST S STE 540
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 230-3423
Get Directions

KPW HEALTH LLC is a multi-specialty clinic center in St Petersburg, FL. KPW HEALTH LLC NPI is 1427559020. The provider is registered as an organization entity type.

The provider's business location address is:

603 7TH ST S STE 540
ST PETERSBURG, FL
ZIP 33701-734
Phone: (727) 230-3423
Fax: (217) 636-3056

The provider's authorized official is Khalilah Weston .
The authorized official title is Owner and has the following contact phone number (734) 657-5407.

The CLIA number assigned to this NPI record is 10D2213242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 3/7/2022.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20133	OTHER		OPTIMUM INSURANCE PLAN
2	64157	OTHER		MERITAIN HEALTH
3	BS022	OTHER		BLUE SHIELD FLORIDA
4	13551	OTHER		GHI/EMBLEM HEALTH PLAN
5	37602	OTHER		GOLDEN RULE INSURANCE PLAN
6	60054	OTHER		AETNA MEDICARE
7	44054	OTHER		GEHA
8	60054	OTHER		AETNA
9	62308	OTHER		CIGNA
10	75261	OTHER		TPA
11	14163	OTHER		WELLCARE FLORIDA
12	14163	OTHER		STAYWELL HEALTH PLAN
13	68069	OTHER		SUNSHINE MEDICAID
14	MC010	MEDICAID	FLORIDA
15	87726	OTHER		UNITED HEALTH CARE
16	06111	OTHER		OXFORD HEALTH PLAN
17	25133	OTHER		COVENTRY HEALTH CARE
18	59274	OTHER		AVEMED HEALTH PLAN
19	61101	OTHER		HUMANA, INC
20	77003	OTHER		PRESTIGE
21	80214	OTHER		CHAMPVA
22	27094	OTHER		SIMPLY HEALTH CARE/ CLEAR HEALTH ALLIANCE
23	28804	OTHER		AMERIGROUP
24	36273	OTHER		AARP- UHC OVATIONS INSURANCE SOLUTIONS
25	39026	OTHER		UMR
26	41212	OTHER		FREEDOM HEALTH INSURANCE PLAN
27	62308	OTHER		GREAT WEST PPO
28	95019	OTHER		HEALTH FIRST HEALTH PLANS
29	WELLM2	OTHER		WELLMED/UNITED HEALTH CARE

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: 5/5/2024

NPI Synchronization or Removal

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