Healthcare Provider Details

I. General information

NPI: 1962650036
Provider Name (Legal Business Name): KWS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 E MAIN ST
RICHMOND KY
40475-1647
US

IV. Provider business mailing address

104 E MAIN ST
RICHMOND KY
40475-1647
US

V. Phone/Fax

Practice location:
  • Phone: 800-371-1009
  • Fax: 866-381-8646
Mailing address:
  • Phone: 800-371-1009
  • Fax: 866-381-8646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateKY

VIII. Authorized Official

Name: MR. J MAX SMITH
Title or Position: CEO
Credential:
Phone: 18003711009