Organization
KEILEN SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE GUNDERSEN (OWNER)
(810) 249-8461
Entity
Organization
Contact information
Practice address
1487 S LINDEN RD, FLINT, MI 48532-4167
(810) 249-8461
(810) 249-7931
Mailing address
1487 S LINDEN RD, FLINT, MI 48532-4167
(810) 249-8461
(810) 249-7931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/07/2008
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