Kgc Crna Llc

LBN: Kgc Crna Llc
Kgc Crna Llc is an health care organization with primary practice located at 3337 Cappio Dr , Melbourne FL 32940-1313. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Kgc Crna Llc can be contacted via phone (321) 759-4460, or through Coppala, Kandee Georgette via phone (321) 759-4460.

Contact Information

Primary practice address
3337 Cappio Dr Melbourne FL 32940-1313
Phone: (321) 759-4460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coppala, Kandee Georgette Certified Registered Nurse Anesthetist (CRNA)
Phone: (321) 759-4460

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 9217913 Florida

Profile Details

NPI number 1609215730
LBN Legal business name Kgc Crna Llc
DBA Doing business as
Authorized official Coppala, Kandee Georgette Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2013
Last updated Jul 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609215730 NPPES
Florida MEDICAID 306690800

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