# KIDZ KONNECTIONS LLC

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

## Provider details

- **NPI number:** 1144674177
- **Authorized official:** MS. ASYA JOY LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (404) 279-0598

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2016
- **Last updated:** 04/15/2016
