| Klvsp Corporation | |
|
62 Rollinson St West Orange NJ 07052-4628 | |
| (973) 782-3295 | |
| Not Available |
| Full Name | Klvsp Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 62 Rollinson St, West Orange, New Jersey |
| Authorized Official Name and Position | Krish Kandh Pillai (OWNER) |
| Authorized Official Contact | 9737823295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klvsp Corporation 62 Rollinson St West Orange NJ 07052-4628 Ph: (973) 782-3295 | Klvsp Corporation 62 Rollinson St West Orange NJ 07052-4628 Ph: (973) 782-3295 |
| NPI Number | 1215886288 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 08/24/2026 |
| Certification Date | 08/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215886288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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