MEDICARE: K AND B SERVICES GROUP, CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1134292410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K AND B SERVICES GROUP, CORP

Provider Business Mailing Address
First Line	:	1140 NE 163RD ST
Second Line	:	#22
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4517
Country	:	US
Telephone Number	:	786-258-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 NE 163RD ST
Second Line	:	#22
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4517
Country	:	US
Telephone Number	:	786-258-6458
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATIA RODRIGUEZ
Credential	:
Telephone Number	:	786-258-6458

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

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