Provider Demographics
NPI:1619318839
Name:KIPP ACADEMY BOSTON
Entity type:Organization
Organization Name:KIPP ACADEMY BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-598-1609
Mailing Address - Street 1:394 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1830
Mailing Address - Country:US
Mailing Address - Phone:781-598-1609
Mailing Address - Fax:
Practice Address - Street 1:394 WARREN ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02119-1830
Practice Address - Country:US
Practice Address - Phone:781-598-1609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)