Organization
KAL MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT KALESI NWIBIABU (PRESIDENT)
(801) 266-2795
Entity
Organization
Contact information
Practice address
4042 PACIFIC AVE STE 103, RIVERDALE, UT 84405-1574
(801) 266-2795
(801) 293-9150
Mailing address
4042 PACIFIC AVE STE 103, RIVERDALE, UT 84405-1574
(801) 266-2795
(801) 293-9150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
10/26/2021
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