# K&MT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kmsa, K&M TESTING KMSA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669127379
- **Authorized official:** AMANDA WILSON (OWNER)
- **Authorized official phone:** (480) 241-2197

## Contact information

- **Practice address:** 411 E INDIAN SCHOOL RD APT 2119, PHOENIX, AZ 85012-1886
- **Practice address phone:** (480) 241-2197
- **Mailing address:** 1701 E MEADOWBROOK AVE APT 346, PHOENIX, AZ 85016-5113
- **Mailing address phone:** (480) 241-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 03/16/2022