MEDICARE: KDS INDUSTRIES 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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1790250082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KDS INDUSTRIES INC.

Provider Business Mailing Address
First Line	:	5606 N NAVARRO ST STE 200-T
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-1727
Country	:	US
Telephone Number	:	361-935-0514
Fax Number	:	737-361-3732

Provider Business Practice Location Address
First Line	:	5606 N NAVARRO ST STE 200-T
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-1727
Country	:	US
Telephone Number	:	361-935-0514
Fax Number	:	512-853-3933

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	IMELDA SHEERAN
Credential	:
Telephone Number	:	361-935-0514

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	06/11/2026

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Directions to “KDS INDUSTRIES INC. ” Practice Location

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