MEDICARE: K&K HEALTHCARE SERVICE

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
1	253Z00000X	In Home Supportive Care Agency		PA

General Provider Information

NPI Number	:	1760917389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&K HEALTHCARE SERVICE

Provider Business Mailing Address
First Line	:	2805 SAXTON RD STE 2
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19114-2403
Country	:	US
Telephone Number	:	267-670-9477
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 SAXTON RD STE 2
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19114-2403
Country	:	US
Telephone Number	:	267-670-9477
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MISS SYMBU KAMARA
Credential	:	MSW
Telephone Number	:	267-670-9477

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	07/21/2022

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Directions to “K&K HEALTHCARE SERVICE ” Practice Location

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