Provider Demographics
NPI:1750698882
Name:K&C HOSPICE INC
Entity type:Organization
Organization Name:K&C HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAMONA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN CEO
Authorized Official - Phone:918-647-7829
Mailing Address - Street 1:26256 CAUGHRON RD
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:OK
Mailing Address - Zip Code:74932
Mailing Address - Country:US
Mailing Address - Phone:918-824-1991
Mailing Address - Fax:918-654-3020
Practice Address - Street 1:208 EAST GRAHAM
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74362
Practice Address - Country:US
Practice Address - Phone:918-824-1991
Practice Address - Fax:918-654-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization