Provider Demographics
NPI:1295558419
Name:KRW HOLDINGS, LLC
Entity type:Organization
Organization Name:KRW HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:N
Authorized Official - Last Name:CRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-400-2599
Mailing Address - Street 1:8312 E 63RD CT
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7607
Mailing Address - Country:US
Mailing Address - Phone:318-791-7683
Mailing Address - Fax:
Practice Address - Street 1:8312 E 63RD CT
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7607
Practice Address - Country:US
Practice Address - Phone:318-791-7683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty