Organization
KICKS LLC
Active
Other names
KICKS LCC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SPAIN (CO-OWNER)
(740) 348-0011
Entity
Organization
Contact information
Practice address
143 S 29TH ST, NEWARK, OH 43055-1903
(740) 348-0011
Mailing address
143 S 29TH ST, NEWARK, OH 43055-1903
(740) 348-0011
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4504343
DODD
—
Enumeration date
12/07/2020
Last updated
12/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us