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General NPI Number Information
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NPI Number | 1841153129
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Entity Type | Organization
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Legal Business Name | KKS ENTERPRISE, INC.
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 202 JENNIE DR
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City | HARMONY
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State | PA
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Zip | 16037-8830
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Country | US
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Telephone | 724-594-7818
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Fax |
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Provider Business Mailing Address
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Address Line | 202 JENNIE DR
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City | HARMONY
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State | PA
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Zip | 16037-8830
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY RADEVSKI
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Credential |
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Telephone | 724-594-7818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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