Organization Active NPI

KDS Aesthetics, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Wilson, NC
National Provider Identifier
1447813753
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
KDS AESTHETICS, PLLC
Practice address
2806B Wooten Blvd.
Wilson, NC 27893-8624
Phone
(252) 299-2910
Fax
(970) 293-5677
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Dr. Karen D Szymanski, DO
Title
President
Phone
(330) 519-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

2806B Wooten Blvd.
Wilson, NC 27893-8624

Mailing address

2806B Wooten Blvd.
Wilson, NC 27893-8624
Phone (252) 299-2910

National Provider Directory

National Provider Directory

Locations

3101 Zebulon Rd
Rocky Mount, NC 27804
Phone (252) 442-4024

2806B Wooten Blvd SW
Wilson, NC 27893
Phone (252) 291-8523

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1447813753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806B WOOTEN BLVD.",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938624",
            "telephone_number": "252-299-2910",
            "fax_number": "970-293-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806B WOOTEN BLVD.",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938624",
            "telephone_number": "252-299-2910",
            "fax_number": "970-293-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDS AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-519-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.