Kdd Vital Health and Consulting, LLC
NPI 1104412246ActiveOrganization· Nurse Practitioner, Family· South Holland, IL
Nurse Practitioner, Family in South Holland, Illinois, registered in NPPES in December 2020. The authorized official on file is Kenisha Davis, Fnp.
Overview
| NPI | 1104412246 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2020 |
| Last updated in NPPES | Sep 6, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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