| NPI | 1003270026 |
|---|---|
| Doing Business As | KISS KISSABLE KIDS |
| Entity Type | Organization |
| Authorized Contact | WINDY HARRIS Director Of Operations 734-744-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-10-17 |