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General NPI Number Information
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NPI Number | 1710341516
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Entity Type | Organization
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Legal Business Name | KM INFUSION SERVICE INC
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 2908 LOFTSMOOR LN
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City | PLANO
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State | TX
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Zip | 75025-4190
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Country | US
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Telephone | 214-463-3299
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 WALNUT HILL LN STE 225
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City | DALLAS
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State | TX
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Zip | 75229-5699
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Country | US
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Telephone | 214-257-0508
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Fax | 214-257-8223
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL LEE
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Credential |
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Telephone | 214-463-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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