Provider Demographics
NPI:1447732144
Name:KIIO INC
Entity type:Organization
Organization Name:KIIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-467-4607
Mailing Address - Street 1:2920 MARKETPLACE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53719-5338
Mailing Address - Country:US
Mailing Address - Phone:608-467-4607
Mailing Address - Fax:
Practice Address - Street 1:2920 MARKETPLACE DR STE 203
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53719-5338
Practice Address - Country:US
Practice Address - Phone:608-467-4607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care