1467766642 NPI number — KULTURAL KONNECTIONS CONSULTING LLC

Table of content: (NPI 1467766642)

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:
Provider Other Organization Name Type Code:
6
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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