Provider Demographics
NPI:1093298598
Name:KD INFUSION CENTER PA
Entity Type:Organization
Organization Name:KD INFUSION CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-291-8523
Mailing Address - Street 1:2806A WOOTEN BLVD SW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8624
Mailing Address - Country:US
Mailing Address - Phone:252-505-0648
Mailing Address - Fax:252-291-9110
Practice Address - Street 1:2806A WOOTEN BLVD SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8624
Practice Address - Country:US
Practice Address - Phone:252-505-0648
Practice Address - Fax:252-291-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy