KBK Institute of Advanced Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0058991 Issued in FL

Legal business name

KBK INSTITUTE OF ADVANCED MEDICINE

Practice address

5821 Hollywood Blvd
Hollywood, FL 33021-6308

Phone

(954) 981-9400

Fax

(954) 981-9443

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stacy L Oconnor

Title

Coo

Phone

(954) 981-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245372416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216308",
            "telephone_number": "954-981-9400",
            "fax_number": "954-981-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216308",
            "telephone_number": "954-981-9400",
            "fax_number": "954-981-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBK INSTITUTE OF ADVANCED MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-981-9400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katzen Holistic Speech-Language Pathology, PLLC
• Jennifer Beth Katzen, M.S., CCC-SLP
• Joanne Susan Kaufman, PSYD
• Andrea Laurel Kay, ARNP
• Barry M Kay, O.D.
• Danielle Kearns
• Margaretta L Kearson, PHARMD
• Heather Marie Keaton, FNP-C
• Alyssa Keats, RBT
• Pamela Kebrdle, PHD

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist 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.