Healthcare Provider Details

I. General information

NPI: 1720891971
Provider Name (Legal Business Name): ARKOVA LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7406 27TH ST W STE 8
UNIVERSITY PLACE WA
98466-4635
US

IV. Provider business mailing address

7406 27TH ST W STE 8
UNIVERSITY PLACE WA
98466-4635
US

V. Phone/Fax

Practice location:
  • Phone: 253-532-1027
  • Fax:
Mailing address:
  • Phone: 253-532-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ABAY G KENNEDY
Title or Position: FOUNDER & GM
Credential: MLS (ASCP)
Phone: 385-228-4525