MEDICARE: K&L RELFECTIONS, 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	291U00000X	Clinical Medical Laboratory		FL

General Provider Information

NPI Number	:	1942630405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&L RELFECTIONS, LLC

Provider Business Mailing Address
First Line	:	901 NORTHPOINT PKWY
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 NORTHPOINT PKWY
Second Line	:	SUITE 110
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1951
Country	:	US
Telephone Number	:	561-777-3736
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	LAURA CHATMAN
Credential	:
Telephone Number	:	561-777-3736

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	11/20/2013

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