Provider Demographics
NPI:1568359982
Name:KC COURIERS
Entity type:Organization
Organization Name:KC COURIERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FILING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-903-1371
Mailing Address - Street 1:4569 HIGHWAY 95A N
Mailing Address - Street 2:
Mailing Address - City:MOLINO
Mailing Address - State:FL
Mailing Address - Zip Code:32577-7213
Mailing Address - Country:US
Mailing Address - Phone:850-903-1371
Mailing Address - Fax:
Practice Address - Street 1:4569 HIGHWAY 95A N
Practice Address - Street 2:
Practice Address - City:MOLINO
Practice Address - State:FL
Practice Address - Zip Code:32577-7213
Practice Address - Country:US
Practice Address - Phone:850-903-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:10025
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty