| Aba By Kdj, Inc. | |
|
326 9th Ave Ne Apt 1 St Petersburg FL 33701-1946 | |
| (813) 892-9222 | |
| Not Available |
| Full Name | Aba By Kdj, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 326 9th Ave Ne Apt 1, St Petersburg, Florida |
| Authorized Official Name and Position | Katelyn Johnson (OWNER) |
| Authorized Official Contact | 8138929222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba By Kdj, Inc. Po Box 1356 St Petersburg FL 33731-1356 Ph: (813) 892-9222 | Aba By Kdj, Inc. 326 9th Ave Ne Apt 1 St Petersburg FL 33701-1946 Ph: (813) 892-9222 |
| NPI Number | 1104223197 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104223197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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