Provider Demographics
NPI:1639308455
Name:K & K CASE MANAGEMENT INC.
Entity Type:Organization
Organization Name:K & K CASE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:218-259-1947
Mailing Address - Street 1:1605 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2102
Mailing Address - Country:US
Mailing Address - Phone:218-999-9176
Mailing Address - Fax:
Practice Address - Street 1:1605 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2102
Practice Address - Country:US
Practice Address - Phone:218-999-9176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management