| Ck Wellness Llc | |
|
529 Pearl Street Brockton MA 02301 | |
| (339) 793-9080 | |
| Not Available |
| Full Name | Ck Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 529 Pearl Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Shirnett Khorran Gajaraj (OWNER) |
| Authorized Official Contact | 3397939080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ck Wellness Llc 729 Bridge St Ste 1 Pmb 1046 Weymouth MA 02191-2135 Ph: (339) 793-9080 | Ck Wellness Llc 529 Pearl Street Brockton MA 02301 Ph: (339) 793-9080 |
| NPI Number | 1679363097 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679363097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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