Healthcare Provider Details

I. General information

NPI: 1487400891
Provider Name (Legal Business Name): KB CONSULTING AND FREELANCE WRITING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W COUNTY ROAD 1150 S
CLOVERDALE IN
46120-9182
US

IV. Provider business mailing address

PO BOX 848
CLOVERDALE IN
46120-0848
US

V. Phone/Fax

Practice location:
  • Phone: 765-721-1988
  • Fax:
Mailing address:
  • Phone: 765-721-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHERINE ANNE BURKE
Title or Position: MANAGER
Credential: RN, BSHA, MACS
Phone: 765-721-1988