# KCP ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KCP ENTERPRISES LLC
- **Other names:** Elite Medical and Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689260580
- **Legal business name:** KCP ENTERPRISES LLC
- **Authorized official:** EMMA C CULL (CEO)
- **Authorized official phone:** (678) 469-5011

## Contact information

- **Practice address:** 203 WOODPARK PL BLDG B, WOODSTOCK, GA 30188-3705
- **Practice address phone:** (678) 987-5411
- **Mailing address:** 1568 SOUTHLAKE PKWY, MORROW, GA 30260-4153
- **Mailing address phone:** (470) 878-0696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2020
- **Last updated:** 03/31/2025