Provider Demographics
NPI:1922264837
Name:KSS ENTERPRISES INC
Entity Type:Organization
Organization Name:KSS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, IN EDUCATION
Authorized Official - Phone:318-793-8453
Mailing Address - Street 1:123 CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:LA
Mailing Address - Zip Code:71409-9284
Mailing Address - Country:US
Mailing Address - Phone:318-793-8453
Mailing Address - Fax:318-793-5378
Practice Address - Street 1:123 CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:BOYCE
Practice Address - State:LA
Practice Address - Zip Code:71409-9284
Practice Address - Country:US
Practice Address - Phone:318-793-8453
Practice Address - Fax:318-793-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies