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General NPI Number Information
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NPI Number | 1336491315
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Entity Type | Organization
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Legal Business Name | K&S HEALTHCARE, LLC
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 7585 KITTY HAWK SUITE 201
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-468-2333
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Fax | 210-667-4044
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Provider Business Mailing Address
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Address Line | 7585 KITTY HAWK SUITE 201
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-468-2333
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Fax | 210-667-4044
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | ORLANDO KYPUROS
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Credential | M.D.
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Telephone | 210-599-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M5312
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License Number State | TX
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