Provider Demographics
NPI:1093412736
Name:KS & K,LLC
Entity Type:Organization
Organization Name:KS & K,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KOLB
Authorized Official - Suffix:
Authorized Official - Credentials:HOME CARE AGENCY
Authorized Official - Phone:417-210-7300
Mailing Address - Street 1:4145 S MCCANN CT STE H
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-7232
Mailing Address - Country:US
Mailing Address - Phone:417-210-7300
Mailing Address - Fax:417-268-9430
Practice Address - Street 1:4145 S MCCANN CT STE H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7232
Practice Address - Country:US
Practice Address - Phone:417-210-7300
Practice Address - Fax:417-268-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care