Provider Demographics
NPI:1881463917
Name:KPAP LLC
Entity type:Organization
Organization Name:KPAP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KORTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-455-1278
Mailing Address - Street 1:19223 WIND DANCER ST
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-9001
Mailing Address - Country:US
Mailing Address - Phone:813-455-1278
Mailing Address - Fax:
Practice Address - Street 1:5402 W LAUREL ST STE 212
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1726
Practice Address - Country:US
Practice Address - Phone:813-455-1278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KPAP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty