Organization Name: | KIMTRE CORP. |
NPI Number: | 1568450765 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES C. KIM (PRESIDENT) |
Mailing Address: | 251 Main St Fort Lee |
State: | NJ US |
Postal Code: | 070245709 |
Phone Number: | 2019475550 |
Fax Number: | 2019470514 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 28RS00418400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |