Provider Demographics
NPI:1316107014
Name:KIGHTS CONSULTING
Entity type:Organization
Organization Name:KIGHTS CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-878-6666
Mailing Address - Street 1:201 KITTY HAWK DR
Mailing Address - Street 2:STE 95
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7659
Mailing Address - Country:US
Mailing Address - Phone:919-521-4613
Mailing Address - Fax:919-790-7724
Practice Address - Street 1:201 KITTY HAWK DR
Practice Address - Street 2:STE 95
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7659
Practice Address - Country:US
Practice Address - Phone:919-521-4613
Practice Address - Fax:919-790-7724
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIGHTS CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-16
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01437332B00000X, 293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2881007Medicare PIN