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NPI 1457315418

NPI 1457315418 : KIGHT'S MEDICAL CORP : MORRISVILLE, NC

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General NPI Number Information
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    NPI Number           |    1457315418
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIGHT'S MEDICAL CORP 
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Dates
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    Enumeration Date     |    04/14/2006
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    Last Update Date     |    11/11/2011
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Provider Practice Location Address
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    Address Line         |    201 KITTY HAWK DR SUITE 95
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-7659
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    Country              |    US
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    Telephone            |    919-878-6666
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    Fax                  |    919-878-4411
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Provider Business Mailing Address
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    Address Line         |    201 KITTY HAWK DR SUITE 95
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-7659
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    Country              |    US
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    Telephone            |    919-878-6666
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    Fax                  |    919-878-4411
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Authorized Official
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    Title or Position    |    CEO AND PRESIDENT
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    Name                 |    MR. JOHN A KIGHT 
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    Credential           |    RPH
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    Telephone            |    919-878-6666
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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       |    0206009179
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    00562
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    01023
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    05612
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    License Number State |    NC
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