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NPI Code Detail

MEDICARE: KINEX MEDICAL COMPANY, LLC

MEDICARE: KINEX MEDICAL COMPANY, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477684587
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINEX MEDICAL COMPANY, LLC
Provider Business Mailing Address
First Line : 1801 AIRPORT ROAD
Second Line : SUITE D
City : WAUKESHA
State : WI
Zip : 53188-2477
Country : US
Telephone Number : 800-845-6364
Fax Number : 888-845-3342
Provider Business Practice Location Address
First Line : 3112 COOKE WAY
Second Line : SUITE 105
City : OKLAHOMA CITY
State : OK
Zip : 73179-2401
Country : US
Telephone Number : 800-845-6364
Fax Number : 888-845-3342
Authorized Official
Title or Position : PARTNER
Name : JAMES GLEASON
Credential :
Telephone Number : 800-845-6364
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/02/2016

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Directions to “KINEX MEDICAL COMPANY, LLC ” Practice Location

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