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NPI Code Detail

MEDICARE: KADI MEDICAL SERVICES

MEDICARE: KADI MEDICAL SERVICES
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
1341600000XAmbulance232SC

General Provider Information

NPI Number : 1568410306
Entity Type Code : Organization
Provider Name (Legal Business Name) : KADI MEDICAL SERVICES
Provider Business Mailing Address
First Line : 5005 SUNSET BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-9154
Country : US
Telephone Number : 803-957-7111
Fax Number : 803-957-7115
Provider Business Practice Location Address
First Line : 5005 SUNSET BLVD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-9154
Country : US
Telephone Number : 803-957-7111
Fax Number : 803-957-7115
Authorized Official
Title or Position : DIRECTOR
Name : TODD ODELL
Credential :
Telephone Number : 803-957-7111
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/22/2020

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Directions to “KADI MEDICAL SERVICES ” Practice Location

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