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NPI Code Detail

MEDICARE: K & K CASE MANAGEMENT INC.

MEDICARE: K & K CASE MANAGEMENT INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1639308455
Entity Type Code : Organization
Provider Name (Legal Business Name) : K & K CASE MANAGEMENT INC.
Provider Business Mailing Address
First Line : 1605 NW 4TH ST
Second Line :
City : GRAND RAPIDS
State : MN
Zip : 55744-2102
Country : US
Telephone Number : 218-999-9176
Fax Number :
Provider Business Practice Location Address
First Line : 1605 NW 4TH ST
Second Line :
City : GRAND RAPIDS
State : MN
Zip : 55744-2102
Country : US
Telephone Number : 218-999-9176
Fax Number :
Authorized Official
Title or Position : VISE PRESIDENT
Name : KIMBERLEY ANN RUFF
Credential : BS
Telephone Number : 218-259-1947
Provider Enumeration Date : 07/14/2009
Last Update Date : 07/14/2009

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Directions to “K & K CASE MANAGEMENT INC. ” Practice Location

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