Provider Demographics
NPI:1982254835
Name:SKKPPR ENTERPRISES INC
Entity Type:Organization
Organization Name:SKKPPR ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIANA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:678-815-6201
Mailing Address - Street 1:1740 WINDING WOODS LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-3300
Mailing Address - Country:US
Mailing Address - Phone:678-815-6201
Mailing Address - Fax:404-692-5438
Practice Address - Street 1:1740 WINDING WOODS LN
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-3300
Practice Address - Country:US
Practice Address - Phone:678-815-6201
Practice Address - Fax:404-692-5438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty