MEDICARE: K3 HEALTH KONSULT LLC

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	343900000X	Non-emergency Medical Transport (VAN)
2	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1770281149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K3 HEALTH KONSULT LLC

Provider Business Mailing Address
First Line	:	24 VIEUX CARRE CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2584
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 VIEUX CARRE CT
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2584
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL/ CEO
Name	:	DR. UCHENNA OJIAKU
Credential	:	MD
Telephone Number	:	202-390-7520

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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