Provider Demographics
NPI:1447813753
Name:KDS AESTHETICS, PLLC
Entity type:Organization
Organization Name:KDS AESTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-519-2373
Mailing Address - Street 1:2806B WOOTEN BLVD.
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8624
Mailing Address - Country:US
Mailing Address - Phone:252-299-2910
Mailing Address - Fax:970-293-5677
Practice Address - Street 1:2806B WOOTEN BLVD.
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8624
Practice Address - Country:US
Practice Address - Phone:252-299-2910
Practice Address - Fax:970-293-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty