Provider Demographics
NPI:1215402888
Name:KP3 FUNCTION, PLLC
Entity Type:Organization
Organization Name:KP3 FUNCTION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:KARRH
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:210-865-0901
Mailing Address - Street 1:PO BOX 90492
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-9085
Mailing Address - Country:US
Mailing Address - Phone:210-865-0901
Mailing Address - Fax:877-800-0951
Practice Address - Street 1:2222 BREEZEWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3902
Practice Address - Country:US
Practice Address - Phone:210-865-0901
Practice Address - Fax:877-800-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy