K & L Enterprise

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557256 Issued in VA

Legal business name

K & L ENTERPRISE

Practice address

15B Loudoun St SW
Leesburg, VA 20175-2908

Phone

(703) 779-7909

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kent Edward Clark, DC

Title

Owner/Member

Phone

(703) 779-7909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1194101824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15B LOUDOUN ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752908",
            "telephone_number": "703-779-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B LOUDOUN ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752908",
            "telephone_number": "703-779-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "703-779-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Kyung Yeon Ju, DDS
• Jean Barbara Judd, RN
• Molly Julien, LPC
• Janelle Lea Junk, RPH
• Michele Dianne Justice Taylor-Tyree, M.D.
• K2M, Inc.
• Jonathan Kabesa
• Sahar Kabiri
• Lauretta A Kahle, PA-C
• Kristin Marie Kaiser, PA-C

• Chiropractor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.