Provider Demographics
NPI:1912781790
Name:KLK CARE CONSULTANTS
Entity type:Organization
Organization Name:KLK CARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KYRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:510-672-3699
Mailing Address - Street 1:529 WHITECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2749
Mailing Address - Country:US
Mailing Address - Phone:925-457-0047
Mailing Address - Fax:
Practice Address - Street 1:529 WHITECLIFF DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2749
Practice Address - Country:US
Practice Address - Phone:924-457-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health