MEDICARE: KW MEDICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477137339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KW MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	2584 COUNTRY GOLF DR
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8322
Country	:	US
Telephone Number	:	561-856-3961
Fax Number	:

Provider Business Practice Location Address
First Line	:	2584 COUNTRY GOLF DR
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8322
Country	:	US
Telephone Number	:	561-856-3961
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA BARBER
Credential	:
Telephone Number	:	561-856-3961

Provider Enumeration Date	:	05/07/2021
Last Update Date	:	05/07/2021

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Directions to “KW MEDICAL SERVICES, LLC ” Practice Location

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