Organization
KPW HEALTH LLC
Active
Organization
KPW HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALILAH WESTON MD (OWNER)
(734) 657-5407
Entity
Organization
Contact information
Practice address
900 CARILLON PKWY STE 301, ST PETERSBURG, FL 33716-1115
(727) 230-3423
(217) 636-3056
Mailing address
900 CARILLON PKWY STE 301, ST PETERSBURG, FL 33716-1115
(727) 230-3423
(217) 636-3056
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06111
OXFORD HEALTH PLAN
—
01
—
13551
GHI/EMBLEM HEALTH PLAN
—
01
—
14163
WELLCARE FLORIDA
—
01
—
20133
OPTIMUM INSURANCE PLAN
—
01
—
25133
COVENTRY HEALTH CARE
—
01
—
27094
SIMPLY HEALTH CARE/ CLEAR HEALTH ALLIANCE
—
01
—
28804
AMERIGROUP
—
01
—
36273
AARP- UHC OVATIONS INSURANCE SOLUTIONS
—
01
—
37602
GOLDEN RULE INSURANCE PLAN
—
01
—
39026
UMR
—
01
—
41212
FREEDOM HEALTH INSURANCE PLAN
—
01
—
44054
GEHA
—
01
—
59274
AVEMED HEALTH PLAN
—
01
—
60054
AETNA
—
01
—
61101
HUMANA, INC
—
01
—
62308
CIGNA
—
01
—
64157
MERITAIN HEALTH
—
01
—
68069
SUNSHINE MEDICAID
—
01
—
75261
TPA
—
01
—
77003
PRESTIGE
—
01
—
80214
CHAMPVA
—
01
—
87726
UNITED HEALTH CARE
—
01
—
95019
HEALTH FIRST HEALTH PLANS
—
01
—
BS022
BLUE SHIELD FLORIDA
—
05
—
MC010
—
FL
01
—
WELLM2
WELLMED/UNITED HEALTH CARE
—
Enumeration date
02/28/2018
Last updated
09/19/2024
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