MEDICARE: EVERYTHING MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		NV

General Provider Information

NPI Number	:	1104908821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERYTHING MEDICAL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 33958
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-3958
Country	:	US
Telephone Number	:	702-366-1111
Fax Number	:	702-366-1532

Provider Business Practice Location Address
First Line	:	1811 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2341
Country	:	US
Telephone Number	:	702-366-1111
Fax Number	:	702-366-1532

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JEFFREY RICHARD KELEMEN
Credential	:
Telephone Number	:	702-366-1111

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/22/2020

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