Provider Demographics
NPI:1134650682
Name:KATS KIDS
Entity Type:Organization
Organization Name:KATS KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DON
Authorized Official - Suffix:
Authorized Official - Credentials:MAED
Authorized Official - Phone:252-331-3383
Mailing Address - Street 1:427 MEXICO RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9494
Mailing Address - Country:US
Mailing Address - Phone:252-331-3383
Mailing Address - Fax:
Practice Address - Street 1:427 MEXICO RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9494
Practice Address - Country:US
Practice Address - Phone:252-331-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency