Provider Demographics
NPI:1396219259
Name:KAYD FOUNDATION
Entity Type:Organization
Organization Name:KAYD FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-298-7897
Mailing Address - Street 1:1821 UNIVERSITY AVE W STE 227
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2895
Mailing Address - Country:US
Mailing Address - Phone:612-298-7897
Mailing Address - Fax:
Practice Address - Street 1:1821 UNIVERSITY AVE W STE 227
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2895
Practice Address - Country:US
Practice Address - Phone:612-298-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health