KBK Laboratory & Med Spa, L.L.P.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KBK LABORATORY & MED SPA, L.L.P.

Practice address

3626 Latrobe Dr Ste 300
Charlotte, NC 28211-1799

Phone

(980) 332-2384

Fax

(980) 495-8819

NPI assigned

Jun 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrece Brooks

Title

Co-Ceo

Phone

(919) 971-4778

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1053004358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111799",
            "telephone_number": "980-332-2384",
            "fax_number": "980-495-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111799",
            "telephone_number": "980-332-2384",
            "fax_number": "980-495-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBK LABORATORY & MED SPA, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KATRECE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "919-971-4778"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kayembe, LCSWA
• Kyle Joseph Kaylor, DPT
• Stefan George Kazacos, M.D.
• Paymon Kazemeini
• Jillian Kazley, MD
• KC Pharmacy
• Karuna KC Singh, NP
• Kci USA, Inc.
• Kcot, PLLC
• KD & H Med Supplies, LLC

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.