| NPI | 1124911318 |
|---|---|
| Former Legal Business Name | KP MEDICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | KENIA PRIETO LARREA Owner 786-707-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |