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NPI Code Detail

MEDICARE: KES INTEGRATED SERVICES INC

MEDICARE: KES INTEGRATED SERVICES 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4372600000XAdult Companion
5385H00000XRespite Care
63140N1450XPediatric Skilled Nursing Facility
73747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1174399026
Entity Type Code : Organization
Provider Name (Legal Business Name) : KES INTEGRATED SERVICES INC
Provider Business Mailing Address
First Line : 3060 WILLIAMS DR STE 3020
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3060 WILLIAMS DR STE 3020
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4667
Country : US
Telephone Number : 703-935-9442
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. KATHERINE EYEGUE-SANDY
Credential : DNP
Telephone Number : 703-935-9442
Provider Enumeration Date : 12/01/2023
Last Update Date : 03/07/2025

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Directions to “KES INTEGRATED SERVICES INC ” Practice Location

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