MEDICARE: TAL-MED 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	6060461	KS

General Provider Information

NPI Number	:	1861434227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAL-MED INC

Provider Business Mailing Address
First Line	:	1401 FAIRFAX TRFY STE 369D
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66115-1487
Country	:	US
Telephone Number	:	913-281-5557
Fax Number	:	913-281-5557

Provider Business Practice Location Address
First Line	:	1401 FAIRFAX TRFY STE 369D
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66115-1487
Country	:	US
Telephone Number	:	913-281-5557
Fax Number	:	913-281-5557

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TOM HENDERSON ALABRABA I
Credential	:
Telephone Number	:	913-281-5557

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	05/30/2008

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