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Contact Information

KINGS & QUEENS LLC
118 DEVONSHIRE SQ
SUITE 7
JACKSON, TN38305-2255
 Phone: 731-343-8684
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for KINGS & QUEENS LLC

NPI # 1932564838
LBN Legal business name KINGS & QUEENS LLC
Authorized official SHAMEEKA KELLY - (DON)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2015
Last updated 06/17/2016 - About 10 years ago
Identifiers
TN License # 17750
TN License # 212116
TN License # 83001
TN Medicaid Q020832
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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