Kandkseniorservicesllc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

LC9806604 Issued in MO

Legal business name

KANDKSENIORSERVICESLLC

Practice address

4110 Botanical Ave
Saint Louis, MO 63110-3908

Phone

(314) 791-9390

Fax

(314) 300-8366

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By 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

Vernita Molina

Title

Owner/Director

Phone

(314) 791-9390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1699126342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BOTANICAL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103908",
            "telephone_number": "314-791-9390",
            "fax_number": "314-300-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BOTANICAL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103908",
            "telephone_number": "314-791-9390",
            "fax_number": "314-300-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDKSENIORSERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "VERNITA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-791-9390"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "LC9806604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muthuraj Kanakaraj, MD
• Madhu Kiran Kancherla, M.D.
• Suman Subbaraya Kandachar, MD
• Apoorva Kandakatla, MD
• Dani Kander, DO
• Madhavi Kandula, MD
• Prasanthi Kandula
• Daniel T Kane, MD
• Deborah Shipley Kane, MD
• Erin Elizabeth Kane, MD

• Health Maintenance Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.