Healthcare Provider Details

I. General information

NPI: 1831205814
Provider Name (Legal Business Name): KIN-SHIP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 04/30/2024
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 E STATE ROAD 64
BRADENTON FL
34208-9040
US

IV. Provider business mailing address

3850 E STATE ROAD 64
BRADENTON FL
34208-9040
US

V. Phone/Fax

Practice location:
  • Phone: 941-748-2697
  • Fax:
Mailing address:
  • Phone: 941-748-2697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TREVER QUITTSCHREIBER
Title or Position: PRESIDENT
Credential:
Phone: 941-748-2697