# KCP ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Medical and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790602480
- **Authorized official:** EMMA C CULL (COO)
- **Authorized official phone:** (678) 469-5011

## Contact information

- **Practice address:** 218 SANDY SPRINGS PL, SANDY SPRINGS, GA 30328-3812
- **Practice address phone:** (770) 961-6222
- **Mailing address:** 1568 SOUTHLAKE PKWY, MORROW, GA 30260-4153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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