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Organization
DML-KKC COMPANIES
Active
Organization
DML-KKC COMPANIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (VP)
(800) 909-1997
Entity
Organization
Contact information
Practice address
425 S 2ND AVE, BARSTOW, CA 92311-2891
(702) 213-2074
Mailing address
425 S 2ND AVE, BARSTOW, CA 92311-2891
(702) 213-2074
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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