Provider Demographics
NPI:1417723834
Name:K & E QUALITY LABS LLC
Entity Type:Organization
Organization Name:K & E QUALITY LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-856-0441
Mailing Address - Street 1:249 BEAUVOIR RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-4008
Mailing Address - Country:US
Mailing Address - Phone:901-326-9679
Mailing Address - Fax:888-690-4316
Practice Address - Street 1:249 BEAUVOIR RD BLDG 2
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4008
Practice Address - Country:US
Practice Address - Phone:901-326-9679
Practice Address - Fax:888-690-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical ToxicologyGroup - Multi-Specialty