Organization Name: | KEY MEDICAL SUPPLY, INC. |
NPI Number: | 1659456457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY L STRODA (3RD PARTY CONTRACTS MANAGER) |
Mailing Address: | 532 Apollo Dr Suite 10 Lino Lakes |
State: | MN US |
Postal Code: | 550143031 |
Phone Number: | 6517923860 |
Fax Number: | 6512030210 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 332B00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |