| Ksk Health Services Llc | |
|
6929 W 130th St Suite 503 Parma Heights OH 44130-7895 | |
| (440) 481-3055 | |
| (440) 481-3222 |
| Full Name | Ksk Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6929 W 130th St, Parma Heights, Ohio |
| Authorized Official Name and Position | Stephanie L Kidd (MANAGER/CEO) |
| Authorized Official Contact | 4404813055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksk Health Services Llc 6929 W 130th St Suite 503 Parma Heights OH 44130-7895 Ph: (440) 481-3055 | Ksk Health Services Llc 6929 W 130th St Suite 503 Parma Heights OH 44130-7895 Ph: (440) 481-3055 |
| NPI Number | 1033409222 |
|---|---|
| Provider Enumeration Date | 04/09/2011 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033409222 | NPI | - | NPPES |
| 12634224 | Other | OH | PROVIDER CAQH # |
| 3349058 | Other | OH | UHC/UBH PROVIDER ID |
| 393335 | Other | OH | PROVIDER MHN (HEALTHNET) ID# |
| 687211 | Other | OH | VO GROUP PROVIDER ID# |
| 11744590 | Other | OH | PROVIDER CAQH # |
| 12638930 | Other | OH | PROVIDER CAQH # |
| 0051324 | Medicaid | OH | |
| 587502 | Other | OH | PROVIDER VO ID# |
| 0084596 | Medicaid | OH | |
| 11753827 | Other | OH | PROVIDER CAQH # |
| 2967384 | Medicaid | OH | |
| 687211 | Other | OH | VO MILITARY ONE GROUP PROVIDER ID# |
| 2908413 | Other | OH | PROVIDER UHC/UBH ID# |
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