Organization · NPI-2

Hkkm

Preferred Provider Organization · Cleveland, OH

NPI number1902157068
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1902157068
Entity type
Organization (NPI-2)
Legal business name
Hkkm
Organization subpart
No
Enumeration date
Sep 28, 2012
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization–OHYes
302R00000X Health Maintenance Organization––

Other names

  • Jjhjkm (Doing Business As)

Practice location

25151 Euclid
Cleveland, OH 44120

Phone 216-857-4135

Mailing address

25151 Euclid
Cleveland, OH 44120

Phone 216-857-4135

Authorized official

Tyhngn Hjh Vhb
Ceo
2167896541

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