Organization
KKTM TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREVA KINLAW (PHLEBOTOMIST)
(347) 928-2175
Entity
Organization
Contact information
Practice address
598 GRAND CONCOURSE APT 2, BRONX, NY 10451-5297
(347) 928-2175
Mailing address
598 GRAND CONCOURSE APT 2, BRONX, NY 10451-5297
(347) 928-2175
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
12/26/2025
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