# K-C HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1659971059
- **Authorized official:** YVONNE NGUGI (OWNER)
- **Authorized official phone:** (509) 773-4344

## Contact information

- **Practice address:** 104 W MAIN ST, GOLDENDALE, WA 98620-9589
- **Practice address phone:** (509) 773-4344
- **Practice address fax:** (509) 773-4555
- **Mailing address:** 104 W MAIN ST, GOLDENDALE, WA 98620-9589
- **Mailing address phone:** (509) 773-4344
- **Mailing address fax:** (509) 773-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020