Provider Demographics
NPI:1003597394
Name:KITSWNE LLC
Entity Type:Organization
Organization Name:KITSWNE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-401-0361
Mailing Address - Street 1:2738 CALKINS RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2030
Mailing Address - Country:US
Mailing Address - Phone:703-401-0361
Mailing Address - Fax:
Practice Address - Street 1:2738 CALKINS RD
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2030
Practice Address - Country:US
Practice Address - Phone:703-401-0361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies