Provider Demographics
NPI:1407726334
Name:EZER KENEGDO REFINE
Entity type:Organization
Organization Name:EZER KENEGDO REFINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-885-2861
Mailing Address - Street 1:2545 EIGHT OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2063
Mailing Address - Country:US
Mailing Address - Phone:413-885-2861
Mailing Address - Fax:
Practice Address - Street 1:2545 EIGHT OAKS DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2063
Practice Address - Country:US
Practice Address - Phone:413-885-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty