Organization

Kcs Medical Consulting Llc

Nurse Practitioner in Philadelphia, PA(View on Map)

Legal Business Name

Kcs Medical Consulting Llc

NPI Number

1962160226

NPI Type

Organization

Enumeration Date

12/03/2021

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

175 W COHAWKIN RD STE C
3211 WILLITS RD

City

Clarksboro
Philadelphia

State

NJ
PA

Postal Code

08020-1145
19114-3817

Country

US
US

Telephone Number

(856) 423-7700
(215) 834-3656

Authorized Official

Name

Oluwatobi Menawonu

Title or Position

SOLE MEMBER

Telephone Number

(215) 834-3656

Health Information Exchange

Endpoint Type

SOAP

Endpoint

EMR

Endpoint Description

EMR

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

3211 Willits RdPhiladelphia, PA191143817US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/03/2021

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