KKS Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

010019 Issued in TX

Legal business name

KKS SERVICES

Doing business as

K&K Support Services

Practice address

412 N 1St St
Lufkin, TX 75901-3006

Phone

(936) 634-1166

Fax

(936) 634-1562

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By 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

Mrs. Kathlyn Jackson, RN, MSN

Title

Owner

Phone

(936) 634-1166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K&K Support Services Doing business as

Locations

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1386085744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013006",
            "telephone_number": "936-634-1166",
            "fax_number": "936-634-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013006",
            "telephone_number": "936-634-1166",
            "fax_number": "936-634-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-1166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "010019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184182701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&K Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle King, DDS
• Roderick King Jr., MD
• Billy Gene Kistler, M.D.
• Robert David Kistler, MD
• Rima Z Kittley, MD
• KKS Services, LLC (K&K Support Services)
• Joseph Wayne Knobloch
• Stephanie Moore Knox, LCSW
• Joseph Alan Koch, MD
• Rebekah W Koch, M.D.

• Case Management Agency in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.