Organization
KCP ENTERPRISES LLC
Active
Organization
KCP ENTERPRISES LLC
Active
Parent organization
KCP ENTERPRISES LLC
Other names
Elite Medical and Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
KCP ENTERPRISES LLC
Authorized official
EMMA C CULL (CEO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
203 WOODPARK PL BLDG B, WOODSTOCK, GA 30188-3705
(678) 987-5411
Mailing address
1568 SOUTHLAKE PKWY, MORROW, GA 30260-4153
(470) 878-0696
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
03/31/2025
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