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General NPI Number Information
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NPI Number | 1033708102
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Entity Type | Organization
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Legal Business Name | KET HOME CARE INCORPORATED
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 31007 INTERSTATE 10 W STE 109
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City | BOERNE
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State | TX
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Zip | 78006-9265
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Country | US
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Telephone | 830-431-9115
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Fax | 830-357-7841
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Provider Business Mailing Address
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Address Line | 31007 INTERSTATE 10 W STE 109
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City | BOERNE
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State | TX
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Zip | 78006-9265
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Country | US
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Telephone | 830-431-9115
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Fax | 830-357-7841
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | KENNETH THOMAS
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Credential |
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Telephone | 830-431-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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