Provider Demographics
NPI:1396077095
Name:K. D. SERVICES, INC.
Entity type:Organization
Organization Name:K. D. SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREM
Authorized Official - Middle Name:DALISAY
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:510-877-0686
Mailing Address - Street 1:6089 MADELAINE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1731
Mailing Address - Country:US
Mailing Address - Phone:510-877-0686
Mailing Address - Fax:510-725-4718
Practice Address - Street 1:39675 CEDAR BLVD STE 155
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5490
Practice Address - Country:US
Practice Address - Phone:510-877-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 15457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty