Organization Name: | KC HEALTHCARE SUPPLIES LLC |
NPI Number: | 1982890653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHINWE O'KOLI (CEO) |
Mailing Address: | 5425 Sugarloaf Pkwy Suite#1100 Lawrenceville |
State: | GA US |
Postal Code: | 300435764 |
Phone Number: | 6783779660 |
Fax Number: | 6783779566 |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 07072500 |
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 |