KAIROS REJUVENATION, LLC – NPI #1578425468
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

KAIROS REJUVENATION, LLC is a provider located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1578425468 to KAIROS REJUVENATION, LLC on November 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAIROS REJUVENATION, LLC below.

NPI Profile for
KAIROS REJUVENATION, LLC

NPI Number
1578425468
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAIROS REJUVENATION, LLC
Primary location
12916 CONAMAR DR STE 105
HAGERSTOWN, MD 21742-2760
Phone: (301) 798-6025 Fax: (301) 798-6025
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTINA TORRENCE
OWNER
Phone: (301) 798-6025
Updated
Certification Date
Nov 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.