Provider Demographics
NPI:1114458155
Name:KW PERSONNEL, LLC
Entity Type:Organization
Organization Name:KW PERSONNEL, LLC
Other - Org Name:KW PERSONNEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KURTISHA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:WHEELESS
Authorized Official - Suffix:
Authorized Official - Credentials:AA, NA1
Authorized Official - Phone:919-632-5259
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-0132
Mailing Address - Country:US
Mailing Address - Phone:919-632-5259
Mailing Address - Fax:
Practice Address - Street 1:6470 ROGERS RD
Practice Address - Street 2:
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-9423
Practice Address - Country:US
Practice Address - Phone:919-632-5259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management