Provider Demographics
NPI:1689421125
Name:KP ENTERPRISES, INC.
Entity type:Organization
Organization Name:KP ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMPATH
Authorized Official - Middle Name:
Authorized Official - Last Name:DESILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-451-1124
Mailing Address - Street 1:1507 17TH DR SW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-1395
Mailing Address - Country:US
Mailing Address - Phone:507-460-0050
Mailing Address - Fax:
Practice Address - Street 1:577 STATE AVE STE 3
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-2291
Practice Address - Country:US
Practice Address - Phone:507-451-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care