MEDICARE: KREISERS INC

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

Other Identifiers

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

General Provider Information

NPI Number	:	1821161498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KREISERS INC

Provider Business Mailing Address
First Line	:	403 WEST BLVD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-2672
Country	:	US
Telephone Number	:	605-342-2773
Fax Number	:	605-342-8212

Provider Business Practice Location Address
First Line	:	403 WEST BLVD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-2672
Country	:	US
Telephone Number	:	605-342-2773
Fax Number	:	605-342-8212

Authorized Official
Title or Position	:	VP
Name	:	MR. PHILIP L. JOHNSON
Credential	:
Telephone Number	:	605-336-1155

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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Directions to “KREISERS INC ” Practice Location

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