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KK NP IN ADULT HEALTH, LLP

Company Details

Name: KK NP IN ADULT HEALTH, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 08 Apr 2021 (4 years ago)
Entity Number: 5984271
ZIP code: 11784
County: Blank
Place of Formation: New York
Address: 3 BOYLE ROAD, SELDON, NY, United States, 11784
Principal Address: 3 BOYLE ROAD, SELDEN, NY, United States, 11784

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 3 BOYLE ROAD, SELDON, NY, United States, 11784

National Provider Identifier

NPI Number:
1588246466
Certification Date:
2023-04-18

Authorized Person:

Name:
KRIS JOHNSTON
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6316759002

Filings

Filing Number Date Filed Type Effective Date
210408000364 2021-04-08 NOTICE OF REGISTRATION 2021-04-08

Date of last update: 22 Mar 2025

Sources: New York Secretary of State