Provider Demographics
NPI:1710703756
Name:KMD CONSULTING PLLC
Entity type:Organization
Organization Name:KMD CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KITSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-395-4354
Mailing Address - Street 1:9293 BREAKSTONE CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9740
Mailing Address - Country:US
Mailing Address - Phone:901-395-4354
Mailing Address - Fax:901-209-6029
Practice Address - Street 1:9293 BREAKSTONE CV
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9740
Practice Address - Country:US
Practice Address - Phone:901-395-4354
Practice Address - Fax:901-209-6029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center