K C A S Ent Inc. is a Pediatrics in Marengo, Illinois. K C A S Ent Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for K C A S Ent Inc. is 1659373132. The last update date is 2010-11-24.
K C A S Ent Inc.'s current location address is 706 N Taylor St, Marengo, Illinois. You can contact this provider via phone number 8155680243 and fax number 8155685350. The mailing address for K C A S Ent Inc. is 706 N Taylor St, Marengo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | K C A S Ent Inc. |
|---|---|
| Address | 706 N Taylor St, Marengo, Illinois |
| Phone Number | 8155680243 |
| Fax Number | 8155685350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADVANCED P |
|---|---|
| Authorized Official Name | Ludwikowski L Kathleen |
| Credentials | APN |
| Telephone Number | 8155680243 |
NPI Number Detail
| NPI Number | 1659373132 |
|---|---|
| Provider Enumeration Date | 2005-08-13 |
| Last Updated Date | 2010-11-24 |
Provider Mailing Address Detail
| Address | 706 N Taylor St |
|---|---|
| City | Marengo |
| State | Illinois (IL) |
| Post Code | 601522457 |
| Phone Number | 8155680243 |
| Fax Number | 8155685350 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 209000890 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341407830001 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to K C A S Ent Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The K C A S Ent Inc. has been assigned the NPI (National Provider Identifier) 1659373132. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where K C A S Ent Inc. is physically located?
The K C A S Ent Inc. is situated at the following address: 706 N Taylor St, Marengo, IL 601522457.
What is the K C A S Ent Inc.'s specialty and taxonomy code?
The K C A S Ent Inc.'s specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659373132 to K C A S Ent Inc.?
The Centers for Medicare & Medicaid Services assigned the 1659373132 to K C A S Ent Inc. on 2005-08-13.
As of what date were the details pertaining to K C A S Ent Inc. last refreshed?
The information related to the K C A S Ent Inc., including its address, specialty, and other relevant details, was last updated on 2010-11-24.