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Organization
KCP ENTERPRISES
Active
Organization
KCP ENTERPRISES
Active
Parent organization
KCP ENTERPRISES
Other names
Elite Medical and Rehab, Elite Rehab and Weightloss
Organization subpart
Yes
Provider details
NPI number
Legal business name
KCP ENTERPRISES
Authorized official
EMMA C CULL (COO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
1568 SOUTHLAKE PKWY STE C, MORROW, GA 30260
(470) 878-0696
Mailing address
1568 SOUTHLAKE PKWY STE C, MORROW, GA 30260-4153
(470) 878-0696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
02/15/2016
Last updated
12/09/2025
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