NPI Code Detail JSON Logo

1942476841 NPI number — KGC OPERATOR, INC.

NPI Number: 1942476841
Health Care Provider/Practitioner: KGC OPERATOR, INC.

Information about “1942476841” NPI (KGC OPERATOR, INC.) exists in 1942476841 in HTML format HTML  |  1942476841 in plain Text format TXT  |  1942476841 in PDF (Portable Document Format) PDF  |  1942476841 in an XML format XML  formats.

NPI Number : 1942476841 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942476841",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KGC OPERATOR, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6737 W WASHINGTON ST",
    "SecondLineMailingAddress": "SUITE 2300",
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53214-5647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-918-5000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10001 S MAY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73159-6600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-691-0409",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/01/2008",
    "LastUpdateDate": "05/08/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OHLENDORF",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CO-PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "414-918-5000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.