Provider Demographics
NPI:1669606497
Name:KINSKAY GROUP INC.
Entity type:Organization
Organization Name:KINSKAY GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUWAKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYODE-AKINSILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-513-0938
Mailing Address - Street 1:1230 S LOOP RD
Mailing Address - Street 2:1
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-4766
Mailing Address - Country:US
Mailing Address - Phone:775-751-2828
Mailing Address - Fax:775-751-2877
Practice Address - Street 1:1230 S LOOP RD
Practice Address - Street 2:1
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-4766
Practice Address - Country:US
Practice Address - Phone:775-751-2828
Practice Address - Fax:775-751-2877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINSKAY GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-07
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV332BX2000X332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1669606497Medicaid