Provider Demographics
NPI:1245938182
Name:KMC HEALTH SERVICES
Entity type:Organization
Organization Name:KMC HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUDLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OYIRINDA-AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-832-9993
Mailing Address - Street 1:21777 MERCHANTS WAY STE 420
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6883
Mailing Address - Country:US
Mailing Address - Phone:713-832-9993
Mailing Address - Fax:281-715-3241
Practice Address - Street 1:21777 MERCHANTS WAY STE 420
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6883
Practice Address - Country:US
Practice Address - Phone:713-832-9993
Practice Address - Fax:281-715-3241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory