Healthcare Provider Details

I. General information

NPI: 1922763846
Provider Name (Legal Business Name): KLH HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 18TH WAY SW
BIRMINGHAM AL
35211-3611
US

IV. Provider business mailing address

PO BOX 39794
BIRMINGHAM AL
35208-0018
US

V. Phone/Fax

Practice location:
  • Phone: 205-563-4550
  • Fax:
Mailing address:
  • Phone: 205-563-4550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY L HAWKINS
Title or Position: OWNER/CEO
Credential:
Phone: 205-563-4550