Provider Demographics
NPI:1972383347
Name:K PRIMARY HEALTH & URGENT CARE LLC
Entity Type:Organization
Organization Name:K PRIMARY HEALTH & URGENT CARE LLC
Other - Org Name:K'S HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FADILA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:124-044-4951
Mailing Address - Street 1:4600 POWDER MILL RD STE 450
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2686
Mailing Address - Country:US
Mailing Address - Phone:240-701-9097
Mailing Address - Fax:833-471-0372
Practice Address - Street 1:4600 POWDER MILL RD STE 450
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2686
Practice Address - Country:US
Practice Address - Phone:240-701-9097
Practice Address - Fax:833-471-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty