Provider Demographics
NPI:1619727690
Name:KBS INSIGHTS LLC
Entity Type:Organization
Organization Name:KBS INSIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHACKET
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:321-303-9593
Mailing Address - Street 1:781 CONNELL DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4234
Mailing Address - Country:US
Mailing Address - Phone:321-303-9593
Mailing Address - Fax:
Practice Address - Street 1:225 N PACE BLVD STE 524
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-7915
Practice Address - Country:US
Practice Address - Phone:850-366-3627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health