| Lk Therapeutic Services Llc | |
|
4250 66th St N Kenneth City FL 33709-4918 | |
| (727) 546-2405 | |
| Not Available |
| Full Name | Lk Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4250 66th St N, Kenneth City, Florida |
| Authorized Official Name and Position | Leonard Klaskow (PRESIDENT) |
| Authorized Official Contact | 7272782949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lk Therapeutic Services Llc 9994 83rd St Largo FL 33777-1910 Ph: (727) 278-2949 | Lk Therapeutic Services Llc 4250 66th St N Kenneth City FL 33709-4918 Ph: (727) 546-2405 |
| NPI Number | 1346882099 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 7214369842 |
|---|---|
| Medicare Enrollment ID | O20191119002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346882099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leonard Klaskow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013963099 PECOS PAC ID: 8123450756 Enrollment ID: I20191119002911 |
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