KC Guardian,Inc.

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

KC GUARDIAN,INC.

Practice address

5443 Pebble Beach Dr
Lakeland, FL 33813-1216

Phone

(863) 644-7696

Fax

(863) 644-4666

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Karen Konopnicki Chappell

Title

President

Phone

(863) 602-2935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215038005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7298",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338077298",
            "telephone_number": "863-602-2935",
            "fax_number": "863-644-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 PEBBLE BEACH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131216",
            "telephone_number": "863-644-7696",
            "fax_number": "863-644-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC GUARDIAN,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KONOPNICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-602-2935"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Anne Keefe, PA-C
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• Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.