Provider Demographics
NPI:1467766642
Name:KULTURAL KONNECTIONS CONSULTING LLC
Entity Type:Organization
Organization Name:KULTURAL KONNECTIONS CONSULTING LLC
Other - Org Name:KULTURAL KONNECTIONS CONSULTANTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:KAYLEEN
Authorized Official - Last Name:KIRKLEY-CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-296-1671
Mailing Address - Street 1:PO BOX 150356
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-0356
Mailing Address - Country:US
Mailing Address - Phone:703-296-1671
Mailing Address - Fax:703-921-5222
Practice Address - Street 1:50 SOUTH PICKETT STREET,
Practice Address - Street 2:SUITE 204,
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-296-1671
Practice Address - Fax:703-921-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0102278790Medicaid