Provider Demographics
NPI:1376700278
Name:K&H HEALTHKARE
Entity Type:Organization
Organization Name:K&H HEALTHKARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MD
Authorized Official - Phone:941-922-5366
Mailing Address - Street 1:408 MANATEE AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1135
Mailing Address - Country:US
Mailing Address - Phone:941-922-5366
Mailing Address - Fax:941-894-3487
Practice Address - Street 1:408 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1135
Practice Address - Country:US
Practice Address - Phone:941-922-5366
Practice Address - Fax:941-894-3487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00544302080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250144900Medicaid
FL31351OtherBCBS
FL250144900Medicaid