Organization
KWP HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH PESNELL PT (CEO)
(979) 848-1886
Entity
Organization
Contact information
Practice address
421 S VELASCO ST, ANGLETON, TX 77515-6015
(979) 848-1886
(979) 848-1376
Mailing address
421 S VELASCO ST, ANGLETON, TX 77515-6015
(979) 848-1886
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
TX
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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