Healthcare Provider Details

I. General information

NPI: 1891379905
Provider Name (Legal Business Name): KINDO MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N TRADE ST STE E
WEST END NC
27376-9360
US

IV. Provider business mailing address

2320 7 LKS S
WEST END NC
27376-9601
US

V. Phone/Fax

Practice location:
  • Phone: 704-709-9353
  • Fax:
Mailing address:
  • Phone: 704-709-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MS. KINTINA HOLLIS ANDERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 704-709-9353