| Kc Guardian,inc. | |
|
5443 Pebble Beach Dr Lakeland FL 33813-1216 | |
| (863) 644-7696 | |
| (863) 644-4666 |
| Full Name | Kc Guardian,inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5443 Pebble Beach Dr, Lakeland, Florida |
| Authorized Official Name and Position | Karen Konopnicki Chappell (PRESIDENT) |
| Authorized Official Contact | 8636022935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Guardian,inc. Po Box 7298 Lakeland FL 33807-7298 Ph: (863) 602-2935 | Kc Guardian,inc. 5443 Pebble Beach Dr Lakeland FL 33813-1216 Ph: (863) 644-7696 |
| NPI Number | 1215038005 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215038005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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