Organization
KKS SERVICES
Active
Other names
K&K Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLYN JACKSON RN, MSN (OWNER)
(936) 634-1166
Entity
Organization
Contact information
Practice address
412 N 1ST ST, LUFKIN, TX 75901-3006
(936) 634-1166
(936) 634-1562
Mailing address
412 N 1ST ST, LUFKIN, TX 75901-3006
(936) 634-1166
(936) 634-1562
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
010019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184182701
—
TX
Enumeration date
07/15/2013
Last updated
07/15/2013
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