# KCS MEDICAL CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063179554
- **Authorized official:** OLUWATOBI E MENAWONU CRNP (MANAGING MEMBER)
- **Authorized official phone:** (215) 834-3656

## Contact information

- **Practice address:** 3211 WILLITS RD, PHILADELPHIA, PA 19114-3817
- **Practice address phone:** (215) 834-3656
- **Mailing address:** 175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
- **Mailing address phone:** (856) 423-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 11/19/2021