| Kjg-s. Inc. | |
|
105 Jazz Dr Panama City FL 32405-4906 | |
| (850) 522-9719 | |
| (850) 522-9718 |
| Full Name | Kjg-s. Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 Jazz Dr, Panama City, Florida |
| Authorized Official Name and Position | Kelly Shelton (PRESIDENT) |
| Authorized Official Contact | 8505229719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjg-s. Inc. 105 Jazz Dr Panama City FL 32405-4906 Ph: (850) 522-9719 | Kjg-s. Inc. 105 Jazz Dr Panama City FL 32405-4906 Ph: (850) 522-9719 |
| NPI Number | 1487098620 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487098620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11162 (Florida) | Primary |
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