Organization Active NPI

Kairos Rejuvenation, LLC

  • Gynecology Physician
  • Hagerstown, MD
National Provider Identifier
1578425468
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Authorized official

Name
Kristina Adele TorrenceNPI 1598025009
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.