| Kappa Care Llc | |
|
14253 W Aster Dr Surprise AZ 85379-5505 | |
| (205) 420-8155 | |
| Not Available |
| Full Name | Kappa Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14253 W Aster Dr, Surprise, Arizona |
| Authorized Official Name and Position | Jeremiah R Jackson (ADMINISTRATOR) |
| Authorized Official Contact | 2054208155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kappa Care Llc 14253 W Aster Dr Surprise AZ 85379-5505 Ph: (205) 420-8155 | Kappa Care Llc 14253 W Aster Dr Surprise AZ 85379-5505 Ph: (205) 420-8155 |
| NPI Number | 1215678552 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215678552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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