KSP HEALTH - MO LLC – NPI #1124871074
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KSP HEALTH - MO LLC is a provider located in HARRISONVILLE, MO. NPPES has assigned the NPI number 1124871074 to KSP HEALTH - MO LLC on April 10, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KSP HEALTH - MO LLC below.

NPI Profile for
KSP HEALTH - MO LLC

NPI Number
1124871074
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KSP HEALTH - MO LLC
Primary location
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 64701-2444
Phone: (316) 516-2853 Fax:
Mailing address
6446 E CENTRAL AVE STE 183
WICHITA, KS 67206-1923
Phone: (316) 516-2853 Fax:
Organization Subpart
No
Authorized Official
MUTHUKUMAR VELLAICHAMY
SOLE MEMBER
Phone: (316) 516-2853
Updated
Certification Date
Apr 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.