Provider Demographics
NPI:1255765988
Name:KEW GROUP INC
Entity type:Organization
Organization Name:KEW GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-945-7922
Mailing Address - Street 1:840 MEMORIAL DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3789
Mailing Address - Country:US
Mailing Address - Phone:617-945-7922
Mailing Address - Fax:857-242-3949
Practice Address - Street 1:840 MEMORIAL DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3789
Practice Address - Country:US
Practice Address - Phone:617-945-7922
Practice Address - Fax:857-242-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22D2060722291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory