# KIDS KORNER MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1588760870
- **Authorized official:** KRISTINA L WEYHE JD (COO/SHAREHOLDER)
- **Authorized official phone:** (408) 250-8060

## Contact information

- **Practice address:** 165 LEWIS RD \#10, SAN JOSE, CA 95111
- **Practice address phone:** (418) 971-1034
- **Practice address fax:** (408) 971-6665
- **Mailing address:** 165 LEWIS RD \#10, SAN JOSE, CA 95111
- **Mailing address phone:** (418) 971-1034
- **Mailing address fax:** (408) 971-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | DME00311F | CA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 05/12/2026