| K & K Wellness LLC PLC | |
|
4990 Johnson Ave Nw Ste 14 Cedar Rapids IA 52405-4259 | |
| (319) 551-9973 | |
| Not Available |
| Full Name | K & K Wellness LLC PLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4990 Johnson Ave Nw Ste 14, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Kathrine Rachel Beckman-shaull (CEO) |
| Authorized Official Contact | 3195519973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K & K Wellness LLC PLC 4990 Johnson Ave Nw Ste 14 Cedar Rapids IA 52405-4259 | K & K Wellness LLC PLC 4990 Johnson Ave Nw Ste 14 Cedar Rapids IA 52405-4259 Ph: (319) 551-9973 |
| NPI Number | 1063201838 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063201838 | NPI | - | NPPES |
| 0240116 | Medicaid | IA | |
| 1750926796 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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