Provider Demographics
NPI:1326168295
Name:KKL, INC.
Entity Type:Organization
Organization Name:KKL, INC.
Other - Org Name:CONCORD COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:660-826-3367
Mailing Address - Street 1:PO BOX 1463
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65302-1463
Mailing Address - Country:US
Mailing Address - Phone:660-826-3367
Mailing Address - Fax:
Practice Address - Street 1:2025 HUNTERS LN
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-9202
Practice Address - Country:US
Practice Address - Phone:660-826-3367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-01
Last Update Date:2009-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty