# KINGSWAY MEDICAL SYSTEMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366505752
- **Authorized official:** MR. PHILIP ODOEMENA (ADMINISTRATOR)
- **Authorized official phone:** (972) 228-8111

## Contact information

- **Practice address:** 331 MELROSE DR, SUITE 102, RICHARDSON, TX 75080-4405
- **Practice address phone:** (972) 228-8111
- **Practice address fax:** (972) 228-8332
- **Mailing address:** 331 MELROSE DR, SUITE 102, RICHARDSON, TX 75080-4405
- **Mailing address phone:** (972) 228-8111
- **Mailing address fax:** (972) 228-8332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5415750001 | TX | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 10/24/2007