| Kan Enterprise Inc | |
|
600 N Grace St Suite E Rocky Mount NC 27804-4843 | |
| (252) 407-8055 | |
| Not Available |
| Full Name | Kan Enterprise Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 N Grace St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Thomasene Wilson (DIRECTOR) |
| Authorized Official Contact | 2524787426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kan Enterprise Inc 600 N Grace St Suite E Rocky Mount NC 27804-4843 Ph: (252) 407-8055 | Kan Enterprise Inc 600 N Grace St Suite E Rocky Mount NC 27804-4843 Ph: (252) 407-8055 |
| NPI Number | 1194109579 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194109579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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