| Kl Gash & Associates Llc | |
|
12 Musket Ln Hampton VA 23666-5345 | |
| (412) 401-9707 | |
| Not Available |
| Full Name | Kl Gash & Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Musket Ln, Hampton, Virginia |
| Authorized Official Name and Position | Kenyuatia L Gash (CEO AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 7573443848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kl Gash & Associates Llc 5336 George Washington Mem Hwy Ste E1 Yorktown VA 23692-2501 Ph: (757) 344-3848 | Kl Gash & Associates Llc 12 Musket Ln Hampton VA 23666-5345 Ph: (412) 401-9707 |
| NPI Number | 1699384149 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Medicare PECOS PAC ID | 4981017423 |
|---|---|
| Medicare Enrollment ID | O20201230002099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699384149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenyuatia L Gash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831440544 PECOS PAC ID: 0446555361 Enrollment ID: I20160301001506 |
| Provider Name | Shevonne Yvette Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609507219 PECOS PAC ID: 4183079122 Enrollment ID: I20231011004182 |
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