Organization
KINDER KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNIETH DOUGLAS ALLEN (EXECUTIVE DIRECTOR)
(803) 226-0131
Entity
Organization
Contact information
Practice address
958 MILLBROOK AVE, SUITE 8, AIKEN, SC 29803-0603
(803) 226-0131
(803) 642-2665
Mailing address
958 MILLBROOK AVE, SUITE 8, AIKEN, SC 29803-0603
(803) 226-0131
(803) 642-2665
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/09/2010
Last updated
09/27/2010
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