KICKAPOO MANAGEMENT LLC; NPI #1568849073

Contact Information

KICKAPOO MANAGEMENT LLC

2480 S HIGHWAY 89
SUITE B
PERRY, UT 84302-6727

Phone: 435-239-8756
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KICKAPOO MANAGEMENT LLC

NPI #	`1568849073`
LBN Legal business name	KICKAPOO MANAGEMENT LLC
Authorized official	PAUL REED - (MANAGING MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/05/2015
Last updated	01/15/2016 - About 10 years ago
Identifiers	n/a

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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KICKAPOO MANAGEMENT LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KICKAPOO MANAGEMENT LLC

Reviews for KICKAPOO MANAGEMENT LLC