MEDICARE: KASS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1144430661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASS INC.

Provider Business Mailing Address
First Line	:	2817 STARK ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 STARK ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6562
Country	:	US
Telephone Number	:	817-451-6413
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM ADMINISTRATOR
Name	:	BENNY MAYES
Credential	:
Telephone Number	:	817-457-8324

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

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Directions to “KASS INC. ” Practice Location

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