KC Mac, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05262 Issued in MD

Legal business name

KC MAC, LLC

Practice address

7103 Murphy CT
Temple Hills, MD 20748-5428

Phone

(240) 765-9380

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Anna Camille McKelphin, M.S., ED.S., CCC-SLPNPI 1588008494

Title

President

Phone

(240) 765-9380

Specialties & licenses 1

Addresses

Other names 1

• KC Mac Therapeutic Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Camille McKelphin, M.S., ED.D., CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1588008494
  NPD (past) Authorized official

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1275977092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 MURPHY CT",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485428",
            "telephone_number": "240-765-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 MURPHY CT",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485428",
            "telephone_number": "240-765-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "MCKELPHIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-765-9380",
        "authorized_official_credential": "M.S., ED.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC Mac Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.