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Organization
KCP ENTERPRISES LLC
Active
Organization
KCP ENTERPRISES LLC
Active
Other names
Elite Medical and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA C CULL (COO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
218 SANDY SPRINGS PL, SANDY SPRINGS, GA 30328-3812
(770) 961-6222
Mailing address
1568 SOUTHLAKE PKWY, MORROW, GA 30260-4153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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