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NPI Code Detail

MEDICARE: KC COMMUNITY SERVICES INC

MEDICARE: KC COMMUNITY SERVICES INC
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
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538437009
Entity Type Code : Organization
Provider Name (Legal Business Name) : KC COMMUNITY SERVICES INC
Provider Business Mailing Address
First Line : 2412 MINNESOTA AVE SE
Second Line : UNIT A
City : WASHINGTON
State : DC
Zip : 20020-5300
Country : US
Telephone Number : 202-957-7456
Fax Number : 202-747-7754
Provider Business Practice Location Address
First Line : 2412 MINNESOTA AVE SE
Second Line : UNIT A
City : WASHINGTON
State : DC
Zip : 20020-5300
Country : US
Telephone Number : 202-957-7456
Fax Number : 202-747-7754
Authorized Official
Title or Position : OPERATIONS SPECIALIST
Name : MS. SHELIA DEAN
Credential :
Telephone Number : 240-565-7624
Provider Enumeration Date : 12/12/2011
Last Update Date : 10/23/2023

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Directions to “KC COMMUNITY SERVICES INC ” Practice Location

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