Active NPI
Kairos Rejuvenation, LLC
- Gynecology Physician
- Hagerstown, MD
National Provider Identifier
1578425468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- KAIROS REJUVENATION, LLC
- Practice address
- 12916 Conamar Dr Ste 105
Hagerstown, MD 21742-2760 - Phone
- (301) 798-6025
- Fax
- (301) 798-6025
- NPI assigned
- Nov 29, 2025
- Last updated
- Nov 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Adele Torrence
- Title
- Owner
- Phone
- (301) 798-6025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
12916 Conamar Dr Ste 105
Hagerstown, MD 21742-2760
Mailing address
12916 Conamar Dr Ste 105
Hagerstown, MD 21742-2760
Phone (301) 798-6025
National Provider Directory
National Provider DirectoryLocations
12916 Conamar Dr
Ste 105
Hagerstown, MD 21742
Phone (301) 798-6025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Hagerstown, MD
- NPI 1598025009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764374400000",
"number": "1578425468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12916 CONAMAR DR STE 105",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422760",
"telephone_number": "301-798-6025",
"fax_number": "301-798-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12916 CONAMAR DR STE 105",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422760",
"telephone_number": "301-798-6025",
"fax_number": "301-798-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS REJUVENATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-29",
"last_updated": "2025-11-29",
"certification_date": "2025-11-29",
"status": "A",
"authorized_official_last_name": "TORRENCE",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "ADELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-798-6025"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.