Ksk Health Services Llc

LBN: Ksk Health Services Llc
Ksk Health Services Llc is an health care organization with primary practice located at 6929 W 130Th St Suite 503, Parma Heights OH 44130-7895. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Ksk Health Services Llc can be contacted via phone (440) 481-3055, or through Kidd, Stephanie L via phone (440) 481-3055.

Contact Information

Primary practice address
6929 W 130Th St Suite 503 Parma Heights OH 44130-7895
Phone: (440) 481-3055
Fax: (440) 481-3222
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Stephanie L LPCC/PCC
Phone: (440) 481-3055

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0004052 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0900389 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0007819 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6890 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0007634 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35099315 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35060650 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35060650 Ohio

Profile Details

NPI number 1033409222
LBN Legal business name Ksk Health Services Llc
DBA Doing business as
Authorized official Kidd, Stephanie L LPCC/PCC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2011
Last updated Dec 12th, 2014 - about 12 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 1033409222 NPPES
Ohio Other 12634224 PROVIDER CAQH #
Ohio Other 3349058 PROVIDER CAQH #
Ohio Other 393335 PROVIDER CAQH #
Ohio Other 687211 PROVIDER CAQH #
Ohio Other 11744590 PROVIDER CAQH #
Ohio Other 12638930 PROVIDER CAQH #
Ohio MEDICAID 0051324 PROVIDER CAQH #
Ohio Other 587502 PROVIDER CAQH #
Ohio MEDICAID 0084596 PROVIDER CAQH #
Ohio Other 11753827 PROVIDER CAQH #
Ohio MEDICAID 2967384 PROVIDER CAQH #
Ohio Other 687211 PROVIDER CAQH #
Ohio Other 2908413 PROVIDER CAQH #

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