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General NPI Number Information
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NPI Number | 1154115053
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Entity Type | Organization
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Legal Business Name | KINXO MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1850 LEE RD STE 304
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City | WINTER PARK
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State | FL
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Zip | 32789-2107
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Country | US
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Telephone | 407-545-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 LEE RD STE 304
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City | WINTER PARK
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State | FL
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Zip | 32789-2107
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Country | US
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Telephone | 407-545-8100
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Fax |
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Authorized Official
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Title or Position | FOUNDER,GM, COMPLIANCE OFFICER
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Name | MR. KINGSLEY ISIGUZO
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Credential |
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Telephone | 407-545-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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