Provider Demographics
NPI:1548278427
Name:KENSINGTON SERVICES, LLC
Entity type:Organization
Organization Name:KENSINGTON SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-224-5600
Mailing Address - Street 1:418 S 1400 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5896
Mailing Address - Country:US
Mailing Address - Phone:801-434-7411
Mailing Address - Fax:801-224-4246
Practice Address - Street 1:418 S 1400 W
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5896
Practice Address - Country:US
Practice Address - Phone:801-434-7411
Practice Address - Fax:801-224-4246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies