MEDICARE: K. D. 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
1	235Z00000X	Speech-Language Pathologist	SP 15457	CA

General Provider Information

NPI Number	:	1396077095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K. D. SERVICES, INC.

Provider Business Mailing Address
First Line	:	6089 MADELAINE DR
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-1731
Country	:	US
Telephone Number	:	510-877-0686
Fax Number	:	510-725-4718

Provider Business Practice Location Address
First Line	:	39675 CEDAR BLVD STE 155
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-5490
Country	:	US
Telephone Number	:	510-877-0686
Fax Number	:

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	MS. KAREM DALISAY CHAVEZ
Credential	:	SLP
Telephone Number	:	510-877-0686

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	12/01/2022

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Directions to “K. D. SERVICES, INC. ” Practice Location

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