Provider Demographics
NPI:1447429840
Name:R-K HOLDINGS INC
Entity type:Organization
Organization Name:R-K HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-891-3727
Mailing Address - Street 1:705 SE PARK CREST AVE
Mailing Address - Street 2:SUITE A 130
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-1304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 SE PARK CREST AVE
Practice Address - Street 2:SUITE A 130
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-1304
Practice Address - Country:US
Practice Address - Phone:360-891-3727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory