Provider Demographics
NPI:1861242083
Name:KV HEALTH TECHNOLOGIES
Entity type:Organization
Organization Name:KV HEALTH TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-305-3791
Mailing Address - Street 1:15000 WESTON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2118
Mailing Address - Country:US
Mailing Address - Phone:407-305-3791
Mailing Address - Fax:
Practice Address - Street 1:136 CARBONTON RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4000
Practice Address - Country:US
Practice Address - Phone:910-600-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty