K & S Mobile Labs

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

K & S MOBILE LABS

Practice address

306 Willow St
Sweeny, TX 77480-2930

Phone

(979) 313-8952

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Kristin Simmons

Title

Owner

Phone

(979) 313-8952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1053923086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WILLOW ST",
            "city": "SWEENY",
            "state": "TX",
            "postal_code": "774802930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WILLOW ST",
            "city": "SWEENY",
            "state": "TX",
            "postal_code": "774802930",
            "telephone_number": "979-313-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & S MOBILE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-313-8952"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Eddie Chambliss
• Andrea Kathleen Fenn, R.N.
• George W Deleon MD PA
• Wilma Jeannette Hardesty, PT DPT
• C Jones
• Amy Lynn Keffer, MD
• Jennifer L Kucera, FNP-C
• Erin Kujawski, OTR
• Courtney Marie Lamont
• Enrique A Leal, MD

• All providers in Sweeny, TX
• Phlebology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.