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KCC HEALTH PROMOTION SERVICES LLC
NPI 1265834949
Clinic/Center - Primary Care in Canton, MI

Active since September 24, 2014
1821 MAPLE PARK DR W, CANTON, MI 48188(313) 969-8975 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kcc Health Promotion Services Llc NPPES

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

KCC HEALTH PROMOTION SERVICES LLC (NPI 1265834949) is a healthcare organization registered as a primary care in Canton, Michigan and active in the NPI registry since September 2014. The organization lists Leigha J Ford, Owner, as its authorized official.

NPPES Registry Identity

NPI1265834949
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKCC HEALTH PROMOTION SERVICES LLC
Location Address1821 MAPLE PARK DR WCanton, MI 48188-4829
Mailing Address1821 Maple Park Dr WCanton, MI 48188-4829 · (313) 969-8975
Phone(313) 969-8975
Organization SubpartNo
Authorized OfficialLeigha J FordOwner · (313) 969-8975
Enumeration DateSeptember 24, 2014
✔ NPI 1265834949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4704244847
1821 MAPLE PARK DR W, Canton, MI 48188
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Other Identifiers 1

Medicare PINPENDINGMI

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 Kcc Health Promotion Services LLC's NPI number?

The NPI number for Kcc Health Promotion Services LLC is 1265834949. It was assigned to this organization in the NPPES registry on September 24, 2014.

Where is Kcc Health Promotion Services LLC located?

Kcc Health Promotion Services LLC is located at 1821 Maple Park Dr W, Canton, MI 48188. The listed phone number is (313) 969-8975.

What is Kcc Health Promotion Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kcc Health Promotion Services LLC was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.