Organization
K & K WELLNESS LLC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE RACHEL BECKMAN-SHAULL LISW (CEO)
(319) 551-9973
Entity
Organization
Contact information
Practice address
4990 JOHNSON AVE NW STE 14, CEDAR RAPIDS, IA 52405-4259
(319) 551-9973
Mailing address
4990 JOHNSON AVE NW STE 14, CEDAR RAPIDS, IA 52405-4259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240116
—
IA
05
—
1750926796
—
IA
Enumeration date
05/06/2025
Last updated
05/21/2025
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