1467766642 NPI number — KULTURAL KONNECTIONS CONSULTING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467766642 NPI number — KULTURAL KONNECTIONS CONSULTING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KULTURAL KONNECTIONS CONSULTING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KULTURAL KONNECTIONS CONSULTANTS
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467766642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 150356
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22315-0356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-296-1671
Provider Business Mailing Address Fax Number:
703-921-5222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 SOUTH PICKETT STREET,
Provider Second Line Business Practice Location Address:
SUITE 204,
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-296-1671
Provider Business Practice Location Address Fax Number:
703-921-5222
Provider Enumeration Date:
07/30/2010

Additional Information

Authorized Official

Authorized Official Last Name:
KIRKLEY-CAIN
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
KAYLEEN
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
703-296-1671

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0102278790 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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