Organization Name: | KLEMAKO MEDICAL SUPPLIES INC. |
NPI Number: | 1306124144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLEMENT NWANOLUE (MANAGING DIRECTOR) |
Mailing Address: | 3875 Powder Springs Rd Suite D Powder Springs |
State: | GA US |
Postal Code: | 301272759 |
Phone Number: | 7702223332 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 8086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |