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General NPI Number Information
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NPI Number | 1992660468
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Entity Type | Organization
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Legal Business Name | KNM HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8052 INGRAM DR
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City | PLANO
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State | TX
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Zip | 75024-7810
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Country | US
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Telephone | 972-837-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 8052 INGRAM DR
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City | PLANO
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State | TX
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Zip | 75024-7810
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Country | US
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Telephone | 972-837-7218
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KELLY OCHIENG
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Credential |
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Telephone | 972-837-7218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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