Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 16 days before observation
Type 2 organization · NPI 1568380475
KA WELLNESS PLC
363L00000X · JACKSON, MI
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363L00000X | 363L00000X | Primary |
| 207QB0002X | 207QB0002X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s