Provider Demographics
NPI:1487316162
Name:KNS BROS LLC
Entity type:Organization
Organization Name:KNS BROS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GANGA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIKOTAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-334-0048
Mailing Address - Street 1:1948 BUCHHOLZER BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1849
Mailing Address - Country:US
Mailing Address - Phone:234-334-0048
Mailing Address - Fax:234-334-7050
Practice Address - Street 1:1948 BUCHHOLZER BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1849
Practice Address - Country:US
Practice Address - Phone:234-334-0048
Practice Address - Fax:234-334-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy