| Kpm, LLC | |
|
4113 Barry Pl Chamblee GA 30341-1203 | |
| (404) 819-5518 | |
| Not Available |
| Full Name | Kpm, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4113 Barry Pl, Chamblee, Georgia |
| Authorized Official Name and Position | George Miranda (CEO) |
| Authorized Official Contact | 4048195518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kpm, LLC 4113 Barry Pl Chamblee GA 30341-1203 Ph: (404) 819-5518 | Kpm, LLC 4113 Barry Pl Chamblee GA 30341-1203 Ph: (404) 819-5518 |
| NPI Number | 1306466602 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306466602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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