Provider Demographics
NPI:1235820143
Name:KITH AND KIN HEALTH LLC
Entity Type:Organization
Organization Name:KITH AND KIN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-353-2869
Mailing Address - Street 1:4425 MORNING SONG DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5807
Mailing Address - Country:US
Mailing Address - Phone:469-422-2238
Mailing Address - Fax:
Practice Address - Street 1:4425 MORNING SONG DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5807
Practice Address - Country:US
Practice Address - Phone:469-422-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care