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KDD VITAL HEALTH AND CONSULTING, LLC
NPI 1104412246
Nurse Practitioner - Family in South Holland, IL

Active since December 14, 2020
16266 PRINCE DR, SOUTH HOLLAND, IL 60473(708) 222-7333(708) 221-0501 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jan 31, 2023, Sep 23, 2021 and 1 more (4 updates tracked since 2020).

About Kdd Vital Health And Consulting, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KDD VITAL HEALTH AND CONSULTING, LLC (NPI 1104412246) is a healthcare organization registered as a family in South Holland, Illinois and active in the NPI registry since December 2020. The organization lists Kenisha Davis, Fnp, as its authorized official.

NPPES Registry Identity

NPI1104412246
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKDD VITAL HEALTH AND CONSULTING, LLC
Location Address16266 PRINCE DRSouth Holland, IL 60473-3233
Mailing Address1393 Brandywine RdCrown Point, IN 46307-9307 · (708) 655-1482 · Fax (708) 221-0501
Phone(708) 222-7333
Fax(708) 221-0501
Organization SubpartNo
Authorized OfficialKenisha DavisFnp · (708) 655-1482
Enumeration DateDecember 14, 2020
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1104412246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
16266 PRINCE DR, South Holland, IL 60473
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KENISHA DAVIS APRN
Nurse Practitioner (Family)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 222-7333
BRANNA TRIPLETT REIKI PRACTITIONER
Peer Specialist
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (815) 365-6646
LARRY E. ZOLLINGER, D.D.S. PC
Dentist (General Practice)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 596-6181
QUEENS WEIGHT & WELLNESS CENTER
Nurse Practitioner (Psychiatric/Mental Health)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 222-7333
DR. LARRY EUGENE ZOLLINGER D.D.S.
Dentist (General Practice)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 596-6181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kdd Vital Health And Consulting, LLC's NPI number?

The NPI number for Kdd Vital Health And Consulting, LLC is 1104412246. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Kdd Vital Health And Consulting, LLC located?

Kdd Vital Health And Consulting, LLC is located at 16266 Prince Dr, South Holland, IL 60473. The listed phone number is (708) 222-7333.

What is Kdd Vital Health And Consulting, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kdd Vital Health And Consulting, LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.