Provider Demographics
NPI:1790530327
Name:KBW ENTERPRISES
Entity Type:Organization
Organization Name:KBW ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-585-3208
Mailing Address - Street 1:36R PUTNAM GRN # R
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6011
Mailing Address - Country:US
Mailing Address - Phone:203-585-3208
Mailing Address - Fax:
Practice Address - Street 1:36R PUTNAM GRN # R
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6011
Practice Address - Country:US
Practice Address - Phone:203-585-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health