NPI 1689260580

Kcp Enterprises LLC

Organisation Physical Medicine & Rehabilitation Physician Woodstock, GA

Practice location

Address: 203 Woodpark Pl Bldg B, Woodstock, GA 30188-3705
Phone: (678) 987-5411
Mailing address: 1568 Southlake Pkwy, Morrow, GA 30260-4153

Authorised official

Name: Emma C Cull
Title: Ceo
Phone: (678) 469-5011

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1689260580
Entity type: Organization
NPI issued: 15 Dec 2020
Record last updated: 31 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.