Provider Demographics
NPI:1306605282
Name:KAS SERVICES
Entity type:Organization
Organization Name:KAS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAID
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:ABDISALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-707-2025
Mailing Address - Street 1:729 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1277
Mailing Address - Country:US
Mailing Address - Phone:612-404-7863
Mailing Address - Fax:
Practice Address - Street 1:801 E FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2835
Practice Address - Country:US
Practice Address - Phone:612-404-7863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health