| Kmy International, Llc | |
|
1499 Lynwood Dr Suite# C Lancaster SC 29720-0963 | |
| (919) 673-1361 | |
| Not Available |
| Full Name | Kmy International, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1499 Lynwood Dr, Lancaster, South Carolina |
| Authorized Official Name and Position | Kenya Young (PRESIDENT) |
| Authorized Official Contact | 9196731361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmy International, Llc Po Box 61237 Raleigh NC 27661-1237 Ph: (919) 673-1361 | Kmy International, Llc 1499 Lynwood Dr Suite# C Lancaster SC 29720-0963 Ph: (919) 673-1361 |
| NPI Number | 1316317837 |
|---|---|
| Provider Enumeration Date | 09/26/2015 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316317837 | NPI | - | NPPES |
| GP6991 | Medicaid | SC |
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