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General NPI Number Information
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NPI Number | 1184150419
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Entity Type | Organization
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Legal Business Name | JKCD HEALTHCARE CONSULTING, LLC
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1715 15TH STREET PL
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City | MOLINE
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State | IL
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Zip | 61265-3962
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Country | US
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Telephone | 309-764-7477
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Fax | 855-356-4048
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Provider Business Mailing Address
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Address Line | 1715 15TH STREET PL
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City | MOLINE
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State | IL
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Zip | 61265-3962
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Country | US
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Telephone | 309-764-7477
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Fax | 855-356-4048
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY PARK
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Credential |
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Telephone | 815-872-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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