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NPI Code Detail

MEDICARE: K'S ACADEMY LLC

MEDICARE: K'S ACADEMY LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1194433649
Entity Type Code : Organization
Provider Name (Legal Business Name) : K'S ACADEMY LLC
Provider Business Mailing Address
First Line : 13282 BLYTHEVILLE AVE
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-4752
Country : US
Telephone Number : 954-716-2215
Fax Number :
Provider Business Practice Location Address
First Line : 13282 BLYTHEVILLE AVE
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33981-4752
Country : US
Telephone Number : 954-716-2215
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. KAREN SMITH
Credential : RN
Telephone Number : 954-716-2215
Provider Enumeration Date : 11/14/2022
Last Update Date : 11/14/2022

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Directions to “K'S ACADEMY LLC ” Practice Location

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