Provider Demographics
NPI:1922355726
Name:KL & AC, INC
Entity Type:Organization
Organization Name:KL & AC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MADOUSSOU
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:281-835-9494
Mailing Address - Street 1:15948 S POST OAK RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-3645
Mailing Address - Country:US
Mailing Address - Phone:281-835-9494
Mailing Address - Fax:281-835-9433
Practice Address - Street 1:15948 S POST OAK RD
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-3645
Practice Address - Country:US
Practice Address - Phone:281-835-9494
Practice Address - Fax:281-835-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty