Organization
KAO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN O'NEAL (OWNER/MEMBER)
(706) 614-6086
Entity
Organization
Contact information
Practice address
1181 LANGFORD DR, BLD 100 SUITE 101, WATKINSVILLE, GA 30621
(706) 546-9838
Mailing address
1210 LEXINGTON CT, BISHOP, GA 30621-6223
(706) 614-6086
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
42378
GA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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