Kabe Therapeutic Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KABE THERAPEUTIC SERVICES LLC

Practice address

962 University Ave W
Saint Paul, MN 55104-4703

Phone

(612) 401-1786

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Maryan Farah

Title

Owner

Phone

(206) 817-5522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1356012447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044703",
            "telephone_number": "612-401-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044703",
            "telephone_number": "612-401-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-11-24",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MARYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-817-5522"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Juve, WHCNP
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• Kyra Kaczmarczik
• Harira Kadir
• Iman Kadir

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.