MEDICARE: KND MEDICAL SUPPLIES INC

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	15255493	MD

General Provider Information

NPI Number	:	1154530202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KND MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	PO BOX 10925
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20914-0925
Country	:	US
Telephone Number	:	301-816-9100
Fax Number	:	301-816-0003

Provider Business Practice Location Address
First Line	:	11631 NEBEL ST
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-2503
Country	:	US
Telephone Number	:	301-816-9100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMAOBONG AKPAETE
Credential	:
Telephone Number	:	301-816-9000

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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