Provider Demographics
NPI:1790809135
Name:BKK SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BKK SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-351-3049
Mailing Address - Street 1:PO BOX 1002
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-8002
Mailing Address - Country:US
Mailing Address - Phone:419-882-6784
Mailing Address - Fax:419-882-4795
Practice Address - Street 1:4405 N HOLLAND SYLVANIA RD
Practice Address - Street 2:STE 104
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3529
Practice Address - Country:US
Practice Address - Phone:419-882-6784
Practice Address - Fax:419-882-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3073103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDG5859OtherRAILROAD MEDICARE
OH=========-00OtherBUREAU OF WORKERS COMP
OH9369511Medicare PIN