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NPI Code Detail

MEDICARE: KN MEDICAL SUPPLIES INC

MEDICARE: KN 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1285469841
Entity Type Code : Organization
Provider Name (Legal Business Name) : KN MEDICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 3355 S MAIN ST
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-4443
Country : US
Telephone Number : 801-266-2795
Fax Number :
Provider Business Practice Location Address
First Line : 3355 S MAIN ST
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-4443
Country : US
Telephone Number : 801-266-2795
Fax Number :
Authorized Official
Title or Position : CEO
Name : PRINCESS D NWIBIABU
Credential :
Telephone Number : 801-882-1817
Provider Enumeration Date : 09/04/2024
Last Update Date : 09/11/2024

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Directions to “KN MEDICAL SUPPLIES INC ” Practice Location

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