Provider Demographics
NPI:1740019892
Name:KEMTOS INCORPORATION
Entity type:Organization
Organization Name:KEMTOS INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAKEMI
Authorized Official - Middle Name:TOSIN
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:773-739-1190
Mailing Address - Street 1:15616 KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-1821
Mailing Address - Country:US
Mailing Address - Phone:773-739-1190
Mailing Address - Fax:
Practice Address - Street 1:15616 KENWOOD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1821
Practice Address - Country:US
Practice Address - Phone:773-739-1190
Practice Address - Fax:708-713-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty