MEDICARE: LEGEND MEDICAL EXPRESS

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	:	1316113517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGEND MEDICAL EXPRESS

Provider Business Mailing Address
First Line	:	3651 LINDELL RD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1200
Country	:	US
Telephone Number	:	562-441-9740
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1200
Country	:	US
Telephone Number	:	978-846-7229
Fax Number	:	978-827-4941

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JOANNE M KENNEY
Credential	:
Telephone Number	:	978-846-7229

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	04/18/2014

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Directions to “LEGEND MEDICAL EXPRESS ” Practice Location

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