Organization
KAH DEVELOPMENT 7, L.L.C.
Active
Other names
Kindred House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7563
Entity
Organization
Contact information
Practice address
380 PARK PLACE BLVD STE 230, CLEARWATER, FL 33759-4930
(855) 297-8326
(352) 240-6596
Mailing address
1526 COLE BLVD STE 300, LAKEWOOD, CO 80401-3410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
04/17/2018
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