Kiss ENT LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

KISS ENT LLC

Doing business as

Kiss ent LLC

Practice address

2908 Giddings Ave SE
Grand Rapids, MI 49508-1430

Phone

(616) 272-6896

NPI assigned

Mar 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dale M Gant II, LPN

Title

Owner

Phone

(616) 272-6896

Specialties & licenses 2

Addresses

Other names 1

• Kiss ent LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1205397890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 GIDDINGS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081430",
            "telephone_number": "616-272-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 GIDDINGS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081430",
            "telephone_number": "616-272-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISS ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-272-6896",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiss ent LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Lynn Kiser, LLMSW
• Kristen Ann Kish, PH.D., FLP, LPC
• Stefanie Berci Kish
• Dianna Kisner, AT
• Rachel Kisnonsky, PA-C
• Jamie Kitchel
• Tenisha Kitchen
• Joel Kenneth Kits, P.T.
• Mary A Kitts, CRNA
• Kristen Kitzsteiner, MD

• Nursing Care Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nursing Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.