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Organization

KIDZ KONNECTIONS LLC

Active
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Organization

KIDZ KONNECTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASYA JOY LOPEZ (ADMINISTRATOR)
(404) 279-0598
Entity
Organization

Contact information

Practice address
500 AVALON WAY, APT 313, BRANDON, MS 39047-7533
(404) 279-0598
Mailing address
2460 TERRY RD, SUITE 700, JACKSON, MS 39204-5767

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
04/15/2016
Last updated
04/15/2016
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