Organization · Type 2 NPI

KCP Enterprises

Physical Medicine & Rehabilitation Physician · Morrow, GA

NPI number 1043679418 Active

Practice location

1568 Southlake Pkwy Ste C
Morrow, GA 30260

Call (470) 878-0696 Map

Other practice locations

5505 Peachtree Dunwoody Rd Ste 370, Sandy Springs, GA 30342-1713 · (770) 961-6222

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Physical Medicine & Rehabilitation Physician Primary	208100000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

NPI record

NPI: 1043679418
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Dec 9, 2025
Status: Active
Subpart: Yes of KCP Enterprises

Other names

<unavail>
Elite Medical and Rehab · doing business as
Elite Rehab and Weightloss · doing business as

Authorized official

Emma C Cull
COO
(678) 469-5011

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043679418

KCP Enterprises's National Provider Identifier is 1043679418, issued on Feb 15, 2016. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Morrow, GA. The record was last updated on Dec 9, 2025.