Provider Demographics
NPI:1942515481
Name:KINDER KIDS LLC
Entity Type:Organization
Organization Name:KINDER KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNIETH
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-226-0131
Mailing Address - Street 1:958 MILLBROOK AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-0603
Mailing Address - Country:US
Mailing Address - Phone:803-226-0131
Mailing Address - Fax:803-642-2665
Practice Address - Street 1:958 MILLBROOK AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-0603
Practice Address - Country:US
Practice Address - Phone:803-226-0131
Practice Address - Fax:803-642-2665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No171R00000XOther Service ProvidersInterpreterGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty