KMD Coaching LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MH11140 Issued in FL

Legal business name

KMD COACHING LLC

Practice address

1074 S Florida Ave
Suite 103B
Lakeland, FL 33803-1102

Phone

(863) 397-3232

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn M. Deloach, M.S.; LMHC

Title

Director

Phone

(863) 397-3232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1356739585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 S FLORIDA AVE",
            "address_2": "SUITE 103B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031102",
            "telephone_number": "863-397-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 S FLORIDA AVE",
            "address_2": "SUITE 103B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031102",
            "telephone_number": "863-397-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMD COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-397-3232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.; LMHC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MH11140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kleiner, MOT, OTR/L
• Dana Kleinman, D.O.
• Kristen Kleponis, PT, DPT, PRPC
• Stacy Debra Kline, LM
• Mariah Daly Klingler, DO
• Amelia Lazayre Knight, ARNP
• Drake Knight, RMHCI
• Isabella Kathryn Avila Knight, CCC-SLP
• Kya Knight
• Marlena Octavia Knight, ARNP

• Point of Service in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.