Organization
KENBECK LLC
Active
Organization
KENBECK LLC
Active
Other names
THE LIGHT THERAPY INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIYA JOHNSON (PRESIDENT)
(954) 491-3103
Entity
Organization
Contact information
Practice address
4342 E TRADEWINDS AVE, LAUDERDALE BY THE SEA, FL 33308-5044
(954) 491-3103
(954) 491-3105
Mailing address
4342 E TRADEWINDS AVE, LAUDERDALE BY THE SEA, FL 33308-5044
(954) 491-3103
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
06/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up