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Contact Information

KDM INC
55 NURSING HOME RD
CHUCKEY, TN37641
 Phone: 423-257-6761
 Fax: 423-257-4936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for KDM INC

NPI Number 1124080221
LBN Legal business name KDM INC
Authorized official KATHIE BALL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2006
Last updated 03/06/2008 - About 18 years ago
Identifiers
TN License # 0000000310
TN Medicaid 0445478
TN Medicaid 7440366
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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