Provider Demographics
NPI:1689089757
Name:KPC GROUP LLC
Entity Type:Organization
Organization Name:KPC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA
Authorized Official - Phone:972-809-4884
Mailing Address - Street 1:8745 GARY BURNS DR # 160-132
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2540
Mailing Address - Country:US
Mailing Address - Phone:972-809-4884
Mailing Address - Fax:
Practice Address - Street 1:8745 GARY BURNS DR # 160-132
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2540
Practice Address - Country:US
Practice Address - Phone:972-809-4884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies