Provider Demographics
NPI:1487465159
Name:K9 & EQUINE WELLNESS INCORPORATED
Entity type:Organization
Organization Name:K9 & EQUINE WELLNESS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAPP
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:770-530-0174
Mailing Address - Street 1:4075 MACLAND RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1504
Mailing Address - Country:US
Mailing Address - Phone:770-530-0174
Mailing Address - Fax:770-264-0098
Practice Address - Street 1:4075 MACLAND RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1504
Practice Address - Country:US
Practice Address - Phone:770-530-0174
Practice Address - Fax:770-264-0098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K9 & EQUINE WELLNESS INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-14
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty