Provider Demographics
NPI:1336908193
Name:K SQUARED, INC.
Entity type:Organization
Organization Name:K SQUARED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:662-614-1273
Mailing Address - Street 1:1196 MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-5518
Mailing Address - Country:US
Mailing Address - Phone:662-614-1273
Mailing Address - Fax:
Practice Address - Street 1:1526 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4507
Practice Address - Country:US
Practice Address - Phone:662-614-1273
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?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty