Healthcare Provider Details

I. General information

NPI: 1033456512
Provider Name (Legal Business Name): KOHLBRECHER MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 11/17/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 WESTWOOD INDUSTRIAL PARK DR STE 101
WELDON SPRING MO
63304-4584
US

IV. Provider business mailing address

831 WESTWOOD INDUSTRIAL PARK DR STE 101
WELDON SPRING MO
63304-4584
US

V. Phone/Fax

Practice location:
  • Phone: 314-258-1766
  • Fax: 866-256-1167
Mailing address:
  • Phone: 314-258-1766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. BRAD ALAN KOHLBRECHER
Title or Position: OWNER
Credential:
Phone: 314-258-1766