Provider Demographics
NPI:1972273175
Name:KILO VENTURES
Entity Type:Organization
Organization Name:KILO VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OLALEKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KILO
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:832-280-8857
Mailing Address - Street 1:9219 CALABRIAN PINE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1794
Mailing Address - Country:US
Mailing Address - Phone:832-280-8857
Mailing Address - Fax:
Practice Address - Street 1:9219 CALABRIAN PINE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1794
Practice Address - Country:US
Practice Address - Phone:832-280-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health