# KCS MEDICAL CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KCS Medical AND PSYCH Consulting LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376358952
- **Authorized official:** DR. OLUWATOBI EMMANUEL MENAWONU PHMNP (DIRECTOR)
- **Authorized official phone:** (215) 834-3656

## Contact information

- **Practice address:** 380 RED LION RD, HUNTINGDON VALLEY, PA 19006-6451
- **Practice address phone:** (267) 277-3668
- **Mailing address:** 7001 RISING SUN AVE, PHILADELPHIA, PA 19111-3941
- **Mailing address phone:** (215) 834-3656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 02/11/2025