MEDICARE: KONA MEDICAL EQUIPMENT

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

General Provider Information

NPI Number	:	1659111219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KONA MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	6690 WARRINER WAY
Second Line	:
City	:	CANAL WNCHSTR
State	:	OH
Zip	:	43110-8794
Country	:	US
Telephone Number	:	614-427-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	6690 WARRINER WAY
Second Line	:
City	:	CANAL WNCHSTR
State	:	OH
Zip	:	43110-8794
Country	:	US
Telephone Number	:	614-427-2211
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TAMEKA CURRY
Credential	:
Telephone Number	:	614-256-8952

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	05/31/2024

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Directions to “KONA MEDICAL EQUIPMENT ” Practice Location

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