Kidz Konnections LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIDZ KONNECTIONS LLC

Practice address

500 Avalon Way
Apt 313
Brandon, MS 39047-7533

Phone

(404) 279-0598

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Asya Joy Lopez

Title

Administrator

Phone

(404) 279-0598

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1144674177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "address_2": "SUITE 700",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVALON WAY",
            "address_2": "APT 313",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477533",
            "telephone_number": "404-279-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ KONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ASYA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-279-0598",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siyuan Chen Kennedy, DPC LPC NCC BC-TMH
• Terri Thomas Kennedy, SLP
• Anney Khalid
• Nusrat J Khansur, M.D.
• Kids Avenue Pediatrics LLC
• Stephanie Kile, PHARMD
• Kinetic Play Therapy Services, LLC
• Jennifer Kristin King Lang, PT
• Sharron Elaine King
• Tammy Ciaccio Kingery, RDN

• Family Medicine Physician in Brandon, MS
• Providers in Brandon, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.