| Kc Center For Health And Wellness, Llc | |
|
3793 Green Rd Beachwood OH 44122-5705 | |
| (216) 242-2990 | |
| (216) 455-5436 |
| Full Name | Kc Center For Health And Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3793 Green Rd, Beachwood, Ohio |
| Authorized Official Name and Position | Ashley King (CEO/FOUNDER) |
| Authorized Official Contact | 4403390218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Center For Health And Wellness, Llc 11811 Shaker Blvd Ste 123 Cleveland OH 44120-1927 Ph: (162) 232-5302 | Kc Center For Health And Wellness, Llc 3793 Green Rd Beachwood OH 44122-5705 Ph: (216) 242-2990 |
| NPI Number | 1669989703 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Medicare PECOS PAC ID | 9234491341 |
|---|---|
| Medicare Enrollment ID | O20180328002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669989703 | NPI | - | NPPES |
| Provider Name | Ashley M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013455146 PECOS PAC ID: 6709162514 Enrollment ID: I20170410002675 |
| Provider Name | Quinta E Tangoh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871188367 PECOS PAC ID: 7618369901 Enrollment ID: I20220118002463 |
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