MEDICARE: KID'S SAFETY 1ST

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1194869792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KID'S SAFETY 1ST

Provider Business Mailing Address
First Line	:	3894 WORTHINGTON RD
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-9705
Country	:	US
Telephone Number	:	614-679-1865
Fax Number	:

Provider Business Practice Location Address
First Line	:	3894 WORTHINGTON RD
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-9705
Country	:	US
Telephone Number	:	614-679-1865
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DARRELL M KEM
Credential	:
Telephone Number	:	614-679-1865

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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Directions to “KID'S SAFETY 1ST ” Practice Location

Language	Start Address	Practice Location

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